CommercialPrior AuthMedium impact
20-541 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 updated their behavioral health screening and referral process for PCPs. The policy provides specific screening tools for depression, anxiety, PTSD, substance use, and suicide risk, and clarifies that prior authorization is NOT required for initial outpatient behavioral health assessments.
Action Required
Immediately: Primary care providers should begin using recommended screening tools (GAD-7 for anxiety, PHQ-9 for depression, PC-PTSD-5 for PTSD). Billing team should note that initial behavioral health assessments do NOT require prior authorization. Front desk staff should inform patients they can directly contact MHN at 1-888-935-5966 for behavioral health referrals without needing PCP referral. Ensure signed Authorization for Disclosure of Protected Health Information forms are obtained and kept in medical records when sharing information with MHN.