25-1222 Prior Authorization Updates Now in Effect - More Changes Coming in Early 2026

Date: 11/21/25

Review new medication additions and removals, reclassifications and CMS code changes 

Download the Provider Update (PDF).

 

This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary Providers, Community Supports (CS) Providers, Enhanced Care Management (ECM) Providers, and Behavioral Health Providers.

For Medi-Cal, this information applies to Amador, Calaveras, Inyo, Los Angeles, Mono, Sacramento, San Joaquin, Stanislaus, Tulare and Tuolumne counties.