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Requirements are applied to specific procedures and services ing to State and Federal law. Certain procedures and services are subject to authorization by Medi-Cal field offices before reimbursement can be approved. All inpatient hospital stays require authorization.
To submit a medical prior authorization: Login Here and use the Prescription Drug Prior Authorization or Step Therapy Exception Request Form (No. 61-211) English (PDF).
Health Net offers Medi-Cal benefits to Californians ages 0-25 years and now 50+ despite their immigration status.
Health Net is the health plan for Medi-Cal members in Kern, Los Angeles, Sacramento, San Diego, San Joaquin, Stanislaus, or Tulare counties. Your coverage with Health Net might change if you no longer have Medi-Cal or if you move out of the county.
Health Net and its subsidiaries provide health plans for individuals, families, businesses and people with Medicare and Medicaid, as well as commercial, small business, and affordable care insurance. Health Net, Inc.
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Fax the completed form to the Prior Authorization Department at (800) 743-1655. To check the status of your request, call (800) 421-8578, (800) 628-2705 or (800) 642-4746.
California offers two ways to get health coverage. They are Medi-Cal and Covered California. Both programs use the same application.
Medi-Cal is health coverage, just like the coverage offered through Covered California. Medi-Cal provides benefits similar to the coverage options available through Covered California, but often at lower or no cost to you or your family.

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