21-483 See What News is Online for June 2021
Date: 07/08/21
View the latest info that can help you do business with us
Date posted | Number and title | Type of notice | Audience | Lines of business |
|---|---|---|---|---|
June 23, 2021 | 21-394m, Improve Your Patients’ Experience with Timely Access | News & Announcements |
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Summary: Use these helpful tip sheets to ensure you meet the timely access standards for responding and scheduling appointments for patients as required by the Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC).
Date posted | Number and title | Type of notice | Audience | Lines of business |
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June 30, 2021 | 21-025m, Get Input from a Specialist about Your Patient without a Face-to-Face Visit Flyer | News & Announcements |
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Summary: ConferMED eConsult is an e-consultation platform available to Medi-Cal providers whereby they can receive input from specialists regarding treatment and management in support of Medi-Cal members. Health Net encourages providers to sign up their practices for this service.
Date posted | Number and title | Type of notice | Audience | Lines of business |
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June 30, 2021 | 21-468m, Prior Authorization Changes for California Children's Services | News & Announcements |
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Summary: Effective immediately, office visits for pediatric subspecialists no longer require prior authorization. In-office procedures for specific subspecialties listed in the provider update will still need prior authorization. The update contains a reminder about what forms to use and coordination of benefits.
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 |