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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 …

Actived: 9 days ago

URL: https://providerlibrary.healthnetcalifornia.com/content/dam/centene/healthnet/pdfs/providerlibrary/ProviderPulseNewsletter/Fall-2023-Provider-Pulse-CalViva.pdf

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 …

Category:  Health Go Health

Provider Update: Non-Emergency Medical Transportation and …

WEBNMT and NEMT coverage is limited to the least costly medical transportation available that is adequate for the member’s in the complete provider update, 18-006, Non-Emergency …

Category:  Medical Go Health

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

Category:  Health Go Health

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

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

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

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 …

Category:  Health Go Health

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 …

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

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

Update Your Demographic Information

WEBOnline. Complete the online form on the Health Net provider website at provider.healthnet.com under My Account > Profile > Update Provider Information. You …

Category:  Health Go Health

Medical Policies – 2nd Quarter 2023

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

Category:  Medical Go Health

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 …

Category:  Health Go Health

Prior Authorization Requirements

WEBPrior Authorization Contacts. Effective: February 15, 2023 Prior Authorization Requirements California Direct Network1HMO (including Ambetter HMO) and Point of Service (POS) …

Category:  Health Go Health

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 …

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 …

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 …

Category:  Health Go Health

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

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