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Prior Authorization Requests Tip Sheet

Provider Type

  • Physicians (does not apply to Cal MediConnect)
  • Participating Physician Groups (PPG)
    (does not apply to HSP)
  • Hospitals
  • Ancillary

Counties Covered

  • Fresno
  • Kern  
  • Kings
  • Los Angeles
  • Madera
  • Riverside
  • Sacramento
  • San Bernardino
  • San Diego 
  • San Joaquin
  • Stanislaus
  • Tulare

To obtain a quick reference guide on how to submit prior authorization through the Health Net provider portal or via fax, refer to Submitting Prior Authorization Requests tip sheet (CalViva Health (PDF), Commercial, Cal MediConnect and Medi-Cal (PDF), Medicare (PDF)).

Last Updated: 05/23/2022