Providerlibrary.healthnetcalifornia.com

Enhanced Care Management Provider Reference Guide

WEBEnhanced Care Management (ECM) benefit is a new, statewide benefit established by the Department of Health Care Services (DHCS) to provide a whole-person approach to …

Actived: 8 days ago

URL: https://providerlibrary.healthnetcalifornia.com/content/dam/centene/healthnet/pdfs/providerlibrary/CalAIM/ECM-Provider-Guide-Final-MCL.pdf

Your New Provider Portal Is Here!

WEBFor webinar questions, contact [email protected]. For questions regarding registering for a new account or this migration, contact the applicable Health …

Category: Health Go Health

Provider Update: Breast Pumps and Infant Nutrition are …

WEBRetail-grade manual and personal-use electric breast pumps do not require prior authorization. For Medi-Cal fee-for-service (FFS) participating providers, a …

Category: Health Go Health

Your New Provider Portal Is Here!

WEBprovider.healthnet.com. Follow the steps in the "Steps to register for an account" section on the next page. 1All of the products you are contracted for will be available to you. Reach …

Category: Health Go Health

Tips for Completing the New Member IHA

WEBBill the proper codes for the IHA. Follow medical record standards on documentation of all preventive care services, physical and behavioral health assessments, health …

Category: Medical Go Health

Health Net is Getting a New Look!

WEBHere’s a peek at Health Net’s new logo! We are changing our logo from teal to include a rainbow of colors. The new logo is more vibrant and unique, embracing our commitment …

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Non-Emergency Medical Transportation and Non-Medical

WEBEffective July 1, 2017, as required by California Welfare & Institutions Code §14132(ad)(1) and the California Department of Health Care Services (DHCS) All Plan

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Access to Medi-Cal Coverage will Expand in 2024

WEBMEDI-CAL EXPANSION. Access to Medi-Cal Coverage will Expand in 2024. On January 1, 2024, California will allow adults ages 26 through 49 to enroll in full-scope Medi-Cal, no …

Category: Health Go Health

Provider Dispute Resolution Request

WEBPlease note the specific address for all Medi-Cal appeals. Health Net Commercial Provider Appeals Unit Health Net Medi-Cal Provider Appeals Unit PO Box 9040 Farmington, MO …

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Long-Term Care Authorization Notification Form

WEBAttach the Minimum Data Set (MDS), Pre-Admission Screening and Resident Review (PASRR), Treatment Authorization Request (TAR), and any Medi-Cal non-coverage …

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Your Health Net ID Card

WEBPlease discard any old identification cards you may have from Health Net. You’ll want to take a few minutes to carefully review all of the information on the card, including the …

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Provider Update: CBAS Treatment Request Form Now …

WEBSubmitted using the CBAS Treatment Request form, and. Faxed to the dedicated CBAS line at 1-833-581-5908. The CBAS Treatment Request form is available on the Health Net …

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2021 Medicare Advantage Plan Codes by County

WEBCMS1 CONTRACT CODES LISTED BY PLAN NAME. County. Plan code. AMBER I (HMO D-SNP) H0562. Fresno, Kern, Los Angeles, Orange, Riverside, San Bernardino, San …

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Medi‐Cal Automated Eligibility Verification

WEBThe Automated Eligibility Verification System (AEVS): Is a state database that provides up‐to‐date information on a Medi‐Cal beneficiary’s eligibility. Assists in identifying from …

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MEMBER GRIEVANCE/COMPLAINT FORM

WEBWhen complete, please submit this form to: Health Net, Attn: Medi-Cal Member Appeals and Grievance Department, P.O. Box 10348, Van Nuys, CA 91410-0348. Fax Number: …

Category: Health Go Health

PROVIDER REFERRAL FORM

WEBMedi-Cal. Fax the completed form to the Health Education Department at 800-628-2704 or by email at [email protected]. For questions or to check the status of …

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JANUARY 4, 2018 UPDATE 18-011 4 PAGES Non …

WEBPage 3 of 4 January 4, 2018 • Health Net Update 18-011 . NMT services include: round-trip transportation for a member by passenger car, taxicab, or any other form of public or …

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Medical Policies – 1st Quarter 2023

WEBThe medical policies listed in this update were approved by Centene’s Corporate Clinical Policy Committee and/or Health Net’s Medical Advisory Council (MAC) in the first …

Category: Medical Go Health

Prior Authorization Requirements

WEBThe following services, procedures and equipment are subject to prior authorization (PA) requirements (unless specified as notification required only), as …

Category: Health Go Health

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The medical information found on the MediWells website is designed to support, not to replace the relationship between patient and physician and the medical advice they may provide.