MedicaidPrior AuthMedium impact
20-662 Expanded Access to Diabetic Test Strips and Supplies
Health Net·CA · Endocrinology, Family Medicine, Internal Medicine +1 more·Prior Authorization
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Health Net Cal MediConnect (Medicare-Medicaid Plan) members can now get diabetic supplies through network pharmacies at no cost effective January 1, 2021. Preferred brands (One Touch® and Accu-Check®) don't require prior authorization, but non-preferred brands require prior authorization before members can obtain supplies at network pharmacies.
Action Required
Immediately: Update prior authorization workflows to require pre-approval for non-preferred diabetic supply brands for Cal MediConnect members. Train staff to identify preferred brands (One Touch® by Lifescan and Accu-Check® by Roche) which don't require prior auth. Update patient education materials to inform Cal MediConnect members they can obtain diabetic supplies at Health Net network pharmacies at no cost.