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23-824 New Prior Authorization Requirements Effective October 15, 2023

Date: 08/10/23

Get prior authorization for medical benefit drugs and services listed in this update

Download the Provider Update (PDF).

 

This information applies to Hospitals and Clinics. 

For Medi-Cal, this information applies to Los Angeles (LA-DHS).

contractual      |      august 10, 2023      |      UPDATE 23-824      |      3 PAGES

 

THIS UPDATE APPLIES TO
CALIFORNIA PROVIDERS:

™ Physicians

™ Participating Physician Groups

·  Hospitals/Clinics

™ Ancillary Providers

™ Community Supports (CS) Providers

™ Enhanced Care Management (ECM) Providers

LINES OF BUSINESS:

™ IFP

™ Ambetter HMO

™ Ambetter PPO

™ Employer Group

™ HMO/POS/HSP

™ EPO

™ PPO

™ Medicare Advantage (HMO/PPO)

(Wellcare By Health Net)

·  Medi-Cal

™ Kern

™ San Bernardino

·  Los Angeles
(LA-DHS)

™ San Diego

™ Molina

™ San Joaquin

™ Riverside

™ Stanislaus

™ Sacramento

™ Tulare

PROVIDER SERVICES

provider_services@healthnet.com

800-675-6110

PROVIDER PORTAL

provider.healthnetcalifornia.com

PROVIDER COMMUNICATIONS

provider.communications@healthnet.com

New Prior Authorization Requirements Effective October 15, 2023




Last Updated: 08/10/2023