MedicaidAdministrativeHigh impact
26-806 Medi-Cal Provider Operations Manual Updated: Review Changes for 2026
Health Net·CA·Prior Authorization
We identified it
Jun 23, 2026
Summary
Health Net has updated their 2026 Medi-Cal Provider Operations Manual with changes to multiple sections including prior authorizations, compliance requirements, and operational procedures. All Medi-Cal providers must review the updated manual to ensure continued compliance with current contract requirements.
Action Required
Immediately: All providers and billing staff must review the updated Medi-Cal Provider Operations Manual sections, particularly Prior Authorizations, Compliance and Regulations, and Utilization Management. Access the manual at the Provider Library and update internal procedures to align with new requirements. Contact Health Net Medi-Cal Provider Services at 800-675-6110 with questions to ensure continued compliance and avoid claim denials.