MedicaidAdministrativeMedium impact
20-543 Behavioral Health Screening Referrals
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net has updated behavioral health screening and referral procedures for Medi-Cal members in Fresno, Kings, and Madera counties. Primary care physicians are encouraged to use specific screening tools (GAD-7, PHQ-9, PC-PTSD-5) and can refer directly to MHN without prior authorization for initial assessments.
Action Required
Immediately: Primary care staff should familiarize themselves with new behavioral health screening tools (GAD-7, PHQ-9, PC-PTSD-5) and referral process to MHN. Ensure Authorization for Disclosure of Protected Health Information forms are available and properly filed in medical records when making MHN referrals. Update referral workflows to reflect that members can self-refer to MHN without PCP approval for behavioral health services.