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25-999 Streamlining Prior Authorization: Simplifying Processes for Better Efficiency

Date: 09/24/25

New code updates to minimize administrative burden and enhance patient care

In our continuous effort to improve the prior authorization (PA) experience for both providers and members, we are implementing significant updates to our PA requirements1. These changes align with industry-wide modernization initiatives and commitments to regulatory agencies and AHIP, striving to make prior authorization more efficient and transparent.

What’s changing?

Starting December 1, 2025, updated PA code requirements will take effect, as detailed in the table below.

Key changes include:

  • Removal of certain PA requirements based on clinical necessity and review urgency.
  • Standardization of PA requirements across lines of businesses to reduce confusion and support future real-time authorization capabilities.

Our objectives:

  • Reduce administrative burden.
  • Simplify submission and approval processes.
  • Support timely access to high-quality, medically necessary care.

Accessing PA requirements

Access the Medi-Cal Los Angeles County Department of Human Services (LA-DHS) Participating Provider Groups PA List at Prior Authorizations.

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Service category

PA rule

Services

Codes

Durable medical
equipment (DME) services

PA required

Incontinence supplies

T4521, T4522, T4523, T4524

Continuous glucose monitoring

A4239

No PA required

Oxygen

E0441

Outpatient pharmaceuticals

PA required

Thyrogen®

J3420

Aristada®

J1944

Paliperidone palmitate

J2426, J2427

Genetic analysis

No PA required

Genetic testing

81244, 81331

Home services

No PA required

Applied behavioral analysis

S5111

Enteral nutrition products

S9342, S9343

Community supports

No PA required

Respite services

S9125

1Note for CS and ECM Providers: Select prior authorization updates may not apply to Community Supports (CS) or Enhanced Care Management (ECM) services. Please contact your program liaison if you have questions about authorization requirements specific to your services.

Additional information

If you have questions regarding the information contained in this update, contact the Health Net Provider Services Center by email, by telephone or through the Health Net provider portal.

Behavioral health providers can call 844-966-0298.

 

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 Los Angeles (LA-DHS).



Last Updated: 09/23/2025