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Medi-Cal Provider Manual

The Medi-Cal Operations Manual is used to ensure that Health Net providers have access to needed information to ensure members enrolled in the Medi-Cal managed care plan receive appropriate covered services when needed. The Health Net Medi-Cal plan is underwritten by Health Net of California and is regulated by the California Department of Health Care Services (DHCS).

As a Health Net participating provider, you are required to comply with applicable state laws and regulations and Health Net policies and procedures. The contents of Health Net's operations manuals are supplemental to your Provider Participation Agreement (PPA) and its addendums. When the contents of Health Net's operations manuals conflicts with the PPA, the PPA takes precedence.

This section contains general information regarding provider requirements, policies and procedures, benefits, and other reference materials.



Wide Plan List Item Component








Last Updated: 02/08/2019