Prior Authorization Requirements
California
Commercial
Effective July 1, 2023
The services, procedures, equipment and outpatient pharmaceuticals below apply to:
- Direct Network1 HMO (including Ambetter HMO) and Point of Service (POS) Tier 1
- Health Care Service Plan (HSP)
- POS Tiers 2 and 3 (Elect, Select and Open Access)
- Ambetter (Amb.) HMO participating physician groups (PPGs)
- EPO, PPO, out-of-state PPO and Flex Net
These are subject to prior authorization (PA) requirements (unless noted as "notification" required only) if an “X” is included under the applicable line of business. If “X” is not present, PA may not be required or the service may not be a covered benefit. PA is guaranteed only as of the time of access to this prior authorization requirements page. Providers are responsible for verifying member eligibility through the Health Net Provider Services Center prior to providing care. Even if a service or supply is authorized, eligibility rules and benefit limitations will still apply.
For Individual plans, to confirm whether a specific code requires authorization go to: IFP Ambetter HMO or IFP Ambetter PPO and follow the prompts.
This PA list is not intended to be a list of covered services. The member’s Evidence of Coverage (EOC) or Certificate of Insurance (COI) provides a complete list of covered services. EOCs and COIs may be available online at to members on the Health Net website or by requesting them from the Health Net Provider Services Center.
Submit a prior authorization request to Health Net unless stated differently in requirements listed below. Refer to the member’s Health Net identification (ID) card to confirm product type. Requests should be submitted to Health Net via fax. The Health Net Request for Prior Authorization form must be completed in its entirety and include sufficient clinical information or notes to support medical necessity for services that are requested.
Services provided pursuant to a CARE agreement or CARE plan approved by a court do not require prior authorization.
When faxing a request, please attach pertinent medical records, treatment plans, test results, and evidence of conservative treatment to support the medical appropriateness of the request. All services, procedures, equipment and outpatient pharmaceuticals are subject to benefit plan coverage limitations, members must be eligible, and medical necessity must exist for any plan benefit to be a covered service irrespective of whether or not PA is required.
Select lines of business are abbreviated as follows: Ambetter HMO PPGs is Amb. HMO PPGs, POS Tiers 1, 2 and 3 are POS T1, POS T2, POS T3; out of-state PPO is OOS PPO. Ambetter HMO utilizes the CommunityCare network.
Application of authorization requirement changes to EPO, PPO, OOS PPO and Flex Net are based on group renewal date. Contact Health Net to confirm whether specific services require PA for Group plans.
1Direct Network refers to Health Net’s directly contracting network for HMO, Ambetter HMO, HSP and POS Tier 1 products.
If members have questions regarding the PA list or requirements, refer to the member services number listed on their identification card.
Submit a prior authorization request to Health Net unless stated differently in requirements listed below.
Inpatient Service |
HMO, HSP, POS T1 |
Amb. HMO PPGs |
POS T2, |
EPO, PPO, OOS PPO, Flex Net |
---|---|---|---|---|
Behavioral health or substance abuse facility Authorized by MHN or Health Net check member’s ID card for contact information |
X |
X |
X |
X |
Hospice |
X |
X |
X |
X |
Hospital
|
X |
X |
X |
X |
Skilled nursing facility |
X |
X |
X |
X |
Urgent/emergent admission
|
X | X | X | X |
Submit a prior authorization request to Health Net unless stated differently in requirements listed below.
Outpatient Service |
HMO, HSP, POS T1 |
Amb. HMO PPGs |
POS T2, |
EPO, PPO, OOS PPO, Flex Net |
---|---|---|---|---|
Ablative techniques for treating Barrett’s esophagus and for treatment of primary and metastatic liver malignancies |
X |
X |
X |
X |
Ambulance
|
X |
X* |
X |
X |
Bariatric procedures
|
X |
X* |
X |
X |
Behavioral health and substance abuse Authorized by MHN Services other than office visits including:
|
X |
X |
X |
X |
Bronchial thermoplasty |
X |
X |
X |
|
Capsule endoscopy |
X |
X* |
X |
X |
Cardiovascular procedures Authorized by TurningPoint Healthcare Solutions, LLC. Includes:
|
X |
|||
Chiropractic care and Acupuncture visits
|
X |
X |
X |
X |
Clinical trials |
X |
X |
X |
X |
Dermatology (in-office procedures) Includes:
|
X |
X* |
X |
X |
Diagnostic procedures1,2 Authorized by National Imaging Associates, Inc. (NIA) Advanced imaging:
Cardiac imaging:
|
X |
X |
X |
X |
Drug testing PA required for all quantitative tests for drugs of abuse |
X |
X |
X |
|
Durable medical equipment (DME) Includes:
|
X |
X |
X |
X |
Ear, nose, throat (ENT) services Authorized by TurningPoint Healthcare Solutions, LLC
|
X |
|||
Ear, nose, throat (ENT) services Authorized by Health Net Includes:
|
X |
X* |
X |
|
Enhanced external counterpulsation (EECP) |
X |
X* |
X |
X |
Experimental/investigational services and new technologies Includes, but is not limited to, those listed in the Investigational Procedures List |
X |
X |
X |
X |
Gender reassignment services (Transgender services) |
X |
X* |
X |
X |
Genetic testing Includes counseling |
X |
X* |
X |
X |
Implantable pain pumps Authorized by TurningPoint Healthcare Solutions, LLC |
X |
X* |
X |
X |
Joint surgeries Authorized by TurningPoint Healthcare Solutions, LLC |
X |
X* |
X |
X |
Maternity Notification required only at time of first prenatal visit |
X |
X |
X |
X |
Neuro and spinal cord stimulators Authorized by TurningPoint Healthcare Solutions, LLC |
X |
X* |
X |
X |
Neuropsych testing Authorized by MHN or Health Net. Check member’s ID card for contact information |
X |
X* |
X |
X |
Orthognathic procedures Includes:
|
X |
X* |
X |
X |
Orthotics Custom-made orthotics |
X |
X |
X |
X |
Prosthetics Applies to items exceeding $2,500 in billed charges |
X |
X |
X |
X |
Radiation therapy For HMO, HSP, EPO, PPO, OOS PPO, Flex Net – Authorized by eviCore healthcare For POS T1, T2, T3 – Authorized by
|
X |
X* |
X |
X |
Reconstructive and cosmetic surgery, services and supplies Surgery, services, and supplies, including, but not limited to:
|
X |
X* |
X |
X |
Referrals to nonparticipating providers
|
X |
X |
X |
|
Sleep studies Authorized by eviCore healthcare |
X |
X* |
X |
|
Spinal surgery
|
X |
X* |
X |
X |
Therapy Requires PA after 12 combined visits, including home setting
|
X |
X* |
X |
X |
Transplant
|
X |
X |
X |
X |
Trigger point and sacroiliac (SI) joint injections |
X |
X* |
X |
X |
Uvulopalatopharyngoplasty (UPPP) and laser-assisted UPPP Surgical procedure |
X |
X* |
X |
X |
Vestibuloplasty Surgical procedure |
X |
X* |
X |
X |
Wound care Including but not limited to:
|
X |
X* |
X |
X |
*Subject to PA from the Health Net CommunityCare PPG.
1Not required for any services provided to Stanford students at Stanford Hospital and Clinics, Lucille Salter Packard Children's Hospital and Clinics, Lucille Packard Children's Hospital Medical Group, and University Healthcare Alliance (formerly Menlo Clinic). Radiology services listed that are performed at other locations are authorized by Health Net.
2For Stanford dependents, authorizations must be sent to Health Net.
Medications
- Authorized by Health Net Pharmacy Services
- Outpatient pharmaceuticals require prior authorization for all commercial lines of business: HMO, HSP, POS T1, POS T2, POS T3, Amb. HMO PPGs, EPO, PPO, OOS PPO, Flex Net
Outpatient Pharmaceuticals (Submitted under medical benefit) | |
---|---|
Hemophilia factors | AcariaHealth™ is Health Net’s preferred provider |
Medications newly approved by the U.S. Food and Drug Administration (FDA) |
May require prior authorization – Contact Health Net Pharmacy Services to confirm |
Self-injectables |
For a list of self-injectables, refer to the DOFR crosswalk |
Testosterone therapy |
|
- Authorized by Health Net Pharmacy Services
- Coram is Health Net's preferred infusion provider
Outpatient Pharmaceuticals (Submitted Under Medical Benefit) | |
---|---|
DRUG/THERAPY CLASS |
|
GnRH agonists |
Examples include:
Authorization required for non-oncology/non-urology only:
|
Hereditary angioedema (HAE) agents |
Examples include:
|
Immune globulin agents |
Examples include:
|
Lysosomal storage disorders |
Examples include:
|
Pulmonary arterial hypertension (PAH) agents | Examples include:
|
Ranibizumab agents |
Examples include:
|
Viscosupplementation agents |
Examples include:
|
- The following medications require prior authorization from the Health Net Pharmacy Services
Outpatient Pharmaceuticals (Submitted Under Medical Benefit) | ||||
---|---|---|---|---|
Abecma® Actemra® Adakveo® Adcetris® Aduhelm™ Akynzeo® Alimta® Aliqopa™ Amondys 45™ Amvuttra® Aralast® Asparlas™ Azedra® Bavencio® BCG Intravesical Beleodaq® Belrapzo™ Beovu® Besponsa® Bevacizumab agents Blenrep Blincyto® Botox® Breyanzi® Brineura™ CAR-T Cinqair® Cosela™ Crysvita® Cyramza® Danyelza® Darzalex® decitabine (Sun Pharma) Dupixent® Durysta™ Dysport® Elahere™ Elzonris® Empaveli™ Empliciti® |
Enjaymo™ Entyvio™ Erbitux® Evenity® Evkeeza™ Exondys 51™ Eylea® Fasenra™ Faslodex® Folotyn® Fyarro™ Gamifant® Givlaari Glassia™ H.P. Acthar® Gel Halaven® Hemgenix® Histrelin acetate Ilaris® Iluvien® Imfinzi® Imjudo® Inflectra™ Jelmyto™ Jemperli® Jevtana® Keytruda® Kimmtrak® Krystexxa® Kymriah™ Kyprolis® Lemtrada® Leqvio® Levoleucovorin (Fusilev®, Khapzory™) Libtayo® |
Lumoxiti® Lutathera® Luxturna™ Macugen® Margenza™ Marqibo® Mepsevii™ Monjuvi® Monoferric® Mozobil® Mylotarg™ Myobloc® Myozyme® Nexviazyme® Nplate® Nucala Nulibry™ Nuzyra® Ocrevus™ Oncaspar® Onpattro™ Opdivo® Opdualag™ Orencia® Oxlumo™ Ozurdex® Padcev® Panhematin® Parsabiv® Pemfexy™ Pepaxto® Perjeta® Phesgo® Polivy™ Poteligeo® Prevymis™ Probuphine® Prolastin® |
Prolia® Provenge® Radicava™ Radiesse® Reblozyl® Renflexis™ Retisert® Revcovi™ Rybrevant™ Rylaze™ Ryplazim® Sandostatin® LAR kit Saphnelo™ Sarclisa® Scenesse® Sculptra® Sensipar® Simponi Aria® Sinuva® Skyrizi® Soliris® Somatuline® Depot Sotradecol® Spevigo® Spinraza™ Stelara® Sublocade™ Sustol® Synagis® Synribo® Tecartus™ Tecentriq® Tecvayli™ Tepezza® Testopel® Tezspire® Tivdak™ Trodelvy™ |
Trogarzo™ Tysabri® Tzield™ Ultomiris™ Uplizna® Vabysmo® Vectibix® Ventavis® Vidaza® Viltepso® Visudyne® Vyepti™ Vyondys 53® Vyvgart® Xenpozyme® Xeomin® Xgeva® Xiaflex® Xipere® Xolair® Yervoy® Yescarta™ Yutiq™ Zaltrap® Zemaira® Zemdri™ Zepzelca™ Zilretta™ Zinplava™ Zolgensma® Zulresso™ Zynlonta®
|
- Biosimilars require prior authorization
- Preferred biosimilars are required in lieu of branded drugs
- Authorized by Health Net Pharmacy Services
- Must try preferred products prior to non preferred approval. Please refer to the drug specific policy for complete list of preferred products
OUTPATIENT PHARMACEUTICALS - BIOSIMILARS | |
---|---|
NON-PREFERRED |
PREFERRED |
Bevacizumab agents – Alymsys®, Avastin®, Vegzelma® (no longer requires PA for ophthalmologists) | Mvasi®, ZirabevTM |
Erythropoiesis-stimulating agents (ESA) –Aranesp®, Epogen®, Mircera®, Procrit® |
RetacritTM |
Filgrastim agents – Granix®, Neupogen®, Nivestym®, Releuko® |
Zarxio® |
Infliximab agents – including Remicade® |
Inflectra®, Renflexis® |
Pegfilgrastim agents – Fulphila®, Fylnetra®, Neulasta®, Neulasta Onpro®, Nyvepria®, RolvedonTM, Stimufend® |
Udenyca®, Zarxio®, Ziextenzo® |
Rituximab agents – Riabni®, Rituxan®, Rituxan HycelaTM, Riabni® |
Ruxience®, Truxima® (no PA required for hematology/oncology indications) |
Trastuzumab agents – Enhertu®, Herceptin®, Herceptin HylectaTM, Herzuma®, Kadcyla®, Ontruzant® |
Kanjinti®, Ogivri®, TrazimeraTM |