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Prior Authorization

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Hospitals
  • Ancillary

Counties Covered

  • Fresno
  • Kern  
  • Kings
  • Madera
  • Sacramento
  • San Diego
  • San Joaquin
  • Stanislaus
  • Tulare

Prior authorization allows the Health Net Health Services Department to review a proposed admission or procedure for coverage determination, medical necessity, level of care, length of stay, and placement prior to the delivery of services. Refer to the Prior Authorization topic for an explanation of the prior authorization process and a list of services requiring prior authorization.

Last Updated: 10/31/2019