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MedicaidPrior AuthMedium impact

26-631 Updates to Prior Authorization Requirements

Health Net·CA · Urology, Oncology, Hematology +3 more·Prior Authorization
Effective date
Apr 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

LA-DHS Medi-Cal updated prior authorization requirements with immediate changes for incontinence supplies (PA only required beyond 186 units/month or $165/month limit) and new PA requirements effective April 1, 2026 for multiple services including genetic testing, gene therapy drugs, orthotics, prosthetics, and neuro stimulators.

Action Required

Action needed
Immediately: Update billing system to only require PA for incontinence supplies (T4521-T4533, T4543) when exceeding 186 units/month or $165/month limit. By March 31, 2026: Program billing system to require prior authorization for all listed genetic testing codes (0614U-0630U), gene therapy drugs (C9309, J3404, J9183, J9277, J9601), immune globulin (J1553), denosumab agents (Q5161-Q5162), custom orthotics (A8005-A8006), prosthetics (L5992), and neuro/spinal cord stimulators (C8007, C8008, C8011, C8012). Note: J9003 Camcevi does NOT require PA for urology/hematology. Claims submitted without required PA will be denied.

Affected Billing Codes

T4521
T4522
T4523
T4524
T4525
T4526
T4527
T4528
T4529
T4530
T4533
T4543
C9309
J1553
J3404
J9003
J9183
J9277
J9601
Q5161
Q5162
A8005
A8006
L5992
C8007
C8008
C8011
C8012