MedicaidPrior AuthMedium impact
20-788 Sleep Testing Can Be Done at Home
Health Net·CA · Sleep Medicine, Pulmonology, Family Medicine +1 more·Prior Authorization
Effective date
Dec 15, 2020
We identified it
Jun 20, 2026
Summary
Health Net now allows medically necessary home sleep tests as a temporary benefit for Medi-Cal members during COVID-19, effective immediately with prior authorization required. Facility-based sleep tests continue to require prior authorization for dates of service 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. By December 15, 2020: Continue submitting prior authorization requests for facility-based sleep tests for dates of service starting December 15, 2020. Access authorization requirements through Health Net Provider Portal under Transactions > Authorizations.