Medicare AdvantageAdministrativeLow impact
20-697 Help Your Patients Achieve Better Health Outcomes
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net has released a comprehensive overview of their quality management program and resources available to providers. This policy outlines available wellness programs, case management services, and quality improvement initiatives but does not appear to introduce new billing requirements or changes to existing procedures.
Action Required
Review the Health Net quality management program resources available at provider.healthnet.com and provider.healthnetcalifornia.com to familiarize staff with available patient support programs. Consider incorporating these resources into patient care coordination workflows to improve outcomes and potentially reduce prior authorization denials.