25-1223 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/Clinics, Ancillary Providers, Community Supports (CS) Providers, Enhanced Care Management (ECM) Providers, and Behavioral Health Providers.

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