20-186 It's Not Too Late - Inform Your Patients about How to Prevent the Flu

Date: 02/28/20

This information applies to Physicians and Participating Physician Groups (PPGs).

For Medi-Cal, this information applies to Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties.

2019–2020 influenza vaccine recommendations

Use the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) link to find out more about the flu vaccine. Refer to the CDC website at www.cdc.gov/flu/professionals/vaccination/index.htm for more about:

• Prevention and control with recommended practice guidelines.

-    Plus age requirements, dosing, contraindications, and timing of vaccines.

• Products, supply and distribution.

• Patient education.

The CDC website has the most updated information on this topic to keep you informed during the flu season.

Benefits, barriers and checking to see if a member has had a flu shot

As a member’s provider you can share the benefits and also address any concerns they may have the about getting the vaccine. Providers should offer the vaccine as soon as it is available, until May.

Health Net* urges providers to ask members if they have had a flu shot during office visits. Or tell them about sites where they can to get the vaccine without an appointment.

Claim submission for the flu vaccine

Reimbursement for flu vaccines is in accordance with the terms of the provider’s
Health Net Provider Participation Agreement (PPA) and the member’s benefit plan design.

Additional information

Providers are encouraged to access Health Net’s provider portal online at provider.healthnet.com for real-time information, including eligibility verification, claims status, prior authorization status, plan summaries, and more.

If you have questions regarding the information contained in this update, contact the Health Net Provider Services Center by email at provider_services@healthnet.com within 60 days, by telephone or through the Health Net provider website as listed in the right-hand column.