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26-806 Medi-Cal Provider Operations Manual Updated: Review Changes for 2026

Date: 06/22/26

Updates reflect Medi-Cal requirements and operational changes affecting providers

Health Net has completed the annual update to the Medi-Cal Provider Operations Manual to align with current contract requirements and operational changes. Physicians, practitioners and other providers should review updated sections to ensure continued compliance with Medi-Cal program requirements.

What’s changed

  • Updated sections of the Medi-Cal Provider Operations Manual reflect:
    • Current Medi-Cal contract requirements.
    • Contractual, administrative and operational changes.
  • A summary of sections with changes is available below this communication.

Access the updated manual

Access the Medi-Cal Provider Operations Manual.

Updated Medi-Cal Provider Operations Manual sections and URLs

Section and links

Adverse Childhood Experiences (ACEs)

Benefits

Compliance and Regulations

Consent

Credentialing

Denial Notification

Eligibility Reports

Emergency Services

Medical Records

Member Rights and Responsibilities

Prior Authorizations

Product Descriptions

Provider Oversight

Public Programs

Quality Improvement

Referrals

Third-Party Liability

Utilization Management

 

Need help? Contact us

If you have questions, contact the Health Net Medi-Cal Provider Services Center at 800-675-6110. Behavioral health providers can call 844-966-0298.
 

Keep Your Info Updated & Access Key Resources Easily

Update your contact details quickly using our online form: Demographic Update Forms. This ensures members can connect with you easily or select you as a provider. Looking for important resources? Visit the Provider Library for your operations manual, forms, communications and more - all searchable and printable for your convenience!

This information applies to Physicians and Practitioners, Participating Physician Groups (PPGs), Hospitals, Ancillary 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.



Last Updated: 06/18/2026