MedicaidAdministrativeHigh impact
26-808 Medi-Cal Provider Operations Manual Updated: Review Changes for 2026
Health Net·CA·Prior Authorization
We identified it
Jun 23, 2026
Summary
Health Net updated the Medi-Cal Provider Operations Manual for 2026 with changes across multiple sections including Prior Authorizations, Benefits, Compliance, Medical Records, and Utilization Management. All Medi-Cal providers in Imperial County must review the updated manual to ensure continued compliance with current contract requirements.
Action Required
Immediately: All providers must access and review the updated Medi-Cal Provider Operations Manual at the Provider Library. Pay special attention to Prior Authorizations, Benefits, Medical Records, and Utilization Management sections. Update internal workflows and procedures to align with new contract requirements. Contact Community Health Plan of Imperial Valley at 833-236-4141 for questions or 844-966-0298 for behavioral health inquiries. Failure to comply with updated requirements may result in claim denials or contract violations.