20-477 Use Health Net Preferred Providers Apria, Coram, E-Medical Supplies and LogistiCare
Date: 06/11/20
This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, and Ancillary providers.
For Medi-Cal, this information applies to Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties.
Members can take advantage of the better benefits when you refer them to these providers
The following providers are designated preferred providers for Health Net plan members:
- Apria Healthcare® (Apria) – for covered durable medical equipment (DME)
- Coram® – for home infusion services
- E-Medical Supplies – for glucose meters, chemstrips and lancets
- LogistiCare – for non-emergency medical transportation services
When Health Net is financially responsible for services, physicians and participating physician groups (PPGs) must obtain those services from the above preferred providers to be covered. Payment for services not provided by the designated preferred provider is the financial responsibility of the requesting provider or facility.
For more information, please refer to Health Net’s provider operations manuals, available in the Provider Library.
Apria Healthcare
Refer members to Apria for medically necessary DME and home respiratory services. Apria is the preferred provider for commercial HMO and Medicare Advantage HMO plans. DME supplies include, but are not limited to:
- Bandages
- Bilevel positive airway pressure (BiPAP) supplies
- Braces
- Breast feeding pumps supplies
- Breast pumps
- Canes
- Catheters
- Continuous positive airway pressure (CPAP) devices
- Crutches
- Feeding tubes
- Nebulizers
- Negative pressure wound pumps
- Oxygen equipment
- Syringes, not pre-filled
- Walkers
- Wheelchairs
- Whirlpool bath equipment
Coram
Refer members to Coram for home infusion products and services. Coram is the preferred provider for commercial HMO, Medicare Advantage HMO and Medi-Cal plans. Home infusion services include, but are not limited to:
- Aerosolized antibiotics
- Antibiotic, antiviral and antifungal therapies
- Anticoagulant therapy
- Hydration
- Immunoglobulin (IVIG) commercial only
- Infusion catheter care
- Inotropic therapy
- Iron binding therapy
- Pain management
- Steroid therapy
- Total parenteral nutrition (TPN)
E-Medical Supplies
E-Medical Supplies is the preferred provider for Medicare Advantage plans for diabetic supplies such as:
- Blood glucose meters
- Blood glucose strips
- Lancets
LogistiCare
LogistiCare is the preferred provider for commercial HMO, Medicare Advantage HMO and Medi-Cal plans for all covered, non-emergency medical transportation services for Health Net members.
Note: Transportation services for PPO, EPO, CommunityCare, PureCare, EnhancedCare lines of business and out of area are not part of the preferred provider arrangement with LogistiCare and require a Health Net authorization in order for LogistiCare to arrange transportation.
Provider contact information
Line of business | Providers | Services | Contact information |
Commercial HMO Medicare Advantage HMO | Apria Healthcare | Durable medical equipment | 1-800-277-4288 |
Commercial HMO Medicare Advantage HMO Medi-Cal | Coram | Home infusion services | 1-877-307-1452 Fax: 1-877-307-1453 |
Medicare Advantage HMO | E-Medical Supplies | Diabetic supplies | 1-888-814-6639 Fax: 1-877-366-2140 |
Commercial HMO Medicare Advantage HMO | LogistiCare | Non-emergency ambulance services | 1-866-842-0675 Press option 1 for “Where is My Ride” |
Medicare Supplemental Plans | Routine transportation | 1-877-718-4201 | |
Non-emergency medical transportation (NEMT)* Non-medical transportation (NMT)**
| 1-855-253-6863 For reservation and “Where is My Ride” | ||
Medi-Cal |
*NEMT = Non-emergency medical transportation: gurneys, wheelchair vans and litter vans
**NMT = Non-medical transportation: rideshare, taxis, sedans and other types of public/private transport
Additional information
If you have questions about the information contained in this update, contact the Health Net Provider Services Center by email within 60 days, by telephone or through the Health Net provider website:
Line of Business | Telephone Number | Provider Portal | Email Address |
EnhancedCare PPO (IFP) | 1-844-463-8188 | provider_services@healthnet.com | |
EnhancedCare PPO (SBG) | 1-844-463-8188 | ||
Health Net Employer Group HMO, POS, HSP, PPO, & EPO | 1-800-641-7761 | ||
IFP (CommunityCare HMO, PPO, PureCare HSP, PureCare One EPO) | 1-888-926-2164 | ||
Medicare (individual) | 1-800-929-9224 | ||
Medicare (employer group) | 1-800-929-9224 | ||
Medi-Cal | 1-800-675-6110 | N/A
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