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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).
1-800-743-1655 Fax the completed form to the Prior Authorization Department at 1-800-743-1655. Check appropriate box. Designate type of request. Request for Prior Authorization - Health Net healthnet.com provcom pdf healthnet.com provcom pdf
All paper Health Net Invoice forms and supporting information must be submitted to: Email: CalAIMCSinvoicesubmission@centene.com. Address: Health Net Cal AIM Invoice. PO Box 10439. Van Nuys, CA 91410-0439. Fax: (833) 386-1043. Web Portal.
Health Net is the only Medi-Cal plan in Los Angeles and Sacramento counties that offers both medical and dental coverage.
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