21-267 See What News is Online for March 2021
Date: 04/07/21
View the latest info that can help you do business with us
Date posted | Number and title | Type of notice | Audience | Lines of business1 |
|---|---|---|---|---|
March 5, 2021 | News & Announcements |
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Summary: Providers are informed to refer to the Centers for Medicare & Medicaid Services (CMS) guidelines to check and use Medicare revenue four-digit code formats to avoid possible claim rejects.
Date posted | Number and title | Type of notice | Audience | Lines of business1 |
|---|---|---|---|---|
March 26, 2021 | Flyer |
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Summary: Providers can improve their HEDIS scores by helping members earn rewards for completing targeted health care activities. The Medi-Cal Rewards program offers prepaid gift cards for members who complete their 2021 health care activities outlined in the flyer and attest to completion of health care activities by December 31, 2021.
Date posted | Number and title | Type of notice | Audience | Lines of business1 |
|---|---|---|---|---|
March 26, 2021 | News & Announcements |
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Summary: LogistiCare has changed its name to ModivCareTM. ModivCare is Health Net’s capitated preferred provider for member transportation services. Refer to the provider updates for more information about ModivCare and contact information to arrange medically necessary or covered transportation services for members.
Date posted | Number and title | Type of notice | Audience | Lines of business1 |
|---|---|---|---|---|
March 31, 2021 | News & Announcements |
| Medicare Advantage |
Summary: The Centers for Medicare & Medicaid Services made changes to the Star Ratings measurements, proposed new measure concepts and retired certain measures. Medicare uses a Star Ratings System to measure how well Medicare Advantage and Part D plans perform. Medicare scores how well plans perform in several categories, including quality of care and customer service. See what the changes are for 2021 and upcoming years, as well as resources to help improve healthcare delivered to Medicare members.
Go to the online COVID-19 alerts page for info about COVID-19 vaccines!
At the online COVID-19 alerts page, you will find information about COVID-19 vaccines. This includes COVID-19 vaccine coverage details, how to enroll to administer the COVID-19 vaccine, and COVID-19 vaccine reporting and coding requirements. Also, access key tips you can use to help talk with and answer questions from your patients about the COVID-19 vaccine, especially those who are hesitant to receive it.
Additional information
If you have questions regarding the information contained in this update, contact the applicable Health Net Provider Services Center within 60 days at:
Line of Business | Telephone Number | Provider Portal | Email Address |
|---|---|---|---|
EnhancedCare PPO (IFP) | 1-844-463-8188 | ||
EnhancedCare PPO (SBG) | 1-844-463-8188 | provider_services@healthnet.com | |
Health Net Employer Group HMO, POS, HSP, PPO, & EPO | 1-800-641-7761 | provider_services@healthnet.com | |
IFP (CommunityCare HMO, PPO, PureCare HSP, PureCare One EPO) | 1-888-926-2164 | provider_services@healthnet.com | |
Medicare (individual) | 1-800-929-9224 | provider_services@healthnet.com | |
Medicare (employer group) | 1-800-929-9224 | provider_services@healthnet.com | |
Medi-Cal | 1-800-675-6110 | N/A |
1 Medi-Cal (all counties) indicates that the communication applies to Medi-Cal Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties.