Local Health Department

In accordance with the Department of Health Care Services (DHCS) guidelines, Health Net reimburses local health departments (LHDs) for certain immunizations given without prior authorization. The LHD is responsible for verifying the member's immunization status, as it is not reimbursed for immunizations provided when the member's immunizations are current. LHDs must submit a copy of the member's immunization record with their claim form. On request, Health Net assists LHDs with obtaining the member's immunization history and forwards a copy of the member's immunization record to the member's PCP for inclusion in the member's medical record.

If the member receives an immunization from the LHD and complications occur, the member must contact their PCP for care as with any other medical problem.

Public Health Coordination

Health Net's public programs administrators work with local health departments (LHDs) to facilitate the exchange of data and information.