MedicaidPrior AuthMedium impact
20-789 Sleep Testing Can Be Done at Home
Health Net·CA · Sleep Medicine, Pulmonology, Family Medicine +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net/CalViva Health now allows home sleep tests as a temporary benefit for Medi-Cal members in Fresno, Kings, and Madera counties during COVID-19. Home sleep tests require prior authorization immediately, while facility-based sleep tests require prior authorization starting December 15, 2020.
Action Required
Immediately: Billing team must submit prior authorization requests for home sleep tests with required medical records for Medi-Cal members in Fresno, Kings, and Madera counties. By December 15, 2020: Submit prior authorization requests for facility-based sleep tests. Access authorization requirements through Health Net Provider Portal under Transactions > Authorizations.