21-337m Prior Authorization Reminder for Outpatient Therapy Visits
Date: 05/10/21
This information applies to Physicians.
Be sure to get prior authorization after 12 combined visits
Health Net’s fee-for-service (FFS) providers must request prior authorization for the below outpatient therapies/rehabilitation services after 12 combined visits.
- Physical therapy
- Occupational therapy
- Speech therapy
Visits 1-12 do not require authorization.
View PA requirements online
Access PA lists, request forms and validation tools with these steps:
1 Go to the provider website.
2 Pre-log in, select Working with Health Net. Under Additional Resources, select Services Requiring Prior Authorization.
Additional information
If you have questions regarding the information contained in this update, contact the
Health Net* Provider Services Center by email at provider_services@healthnet.com within 60 days, by telephone or through the Health Net provider website as listed below.
Line of Business | Telephone Number | Email Address |
|---|---|---|
Cal MediConnect – Los Angeles County | 1-855-464-3571 | provider_services@healthnet.com |
Cal MediConnect – San Diego County | 1-855-464-3572 |