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21-568 See What News is Online for July 2021

Date: 08/06/21

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The table below outlines communications posted in the Provider Library in July 2021. The table includes the posting date, material number and title, type of notice, applicable audience and counties, and a summary of the communication.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

July 16, 2021

21-487m, Celebrate the Strength in Our Communities this BIPOC Mental Health Month

News & Announcements

  • Physicians
  • PPGs
  • Hospitals
  • Ancillary providers
  • HMO/POS/HSP
  • PPO
  • EPO
  • Medicare Advantage
  • Medi-Cal (all counties)
  • Molina

Summary:  Provides resources to providers who have patients that are part of the Black, Indigenous, and People of Color (BIPOC), or lesbian, gay, bisexual, transgender, and questioning (or queer) (LGBTQ) communities and struggle with mental health issues.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

July 16, 2021

21-489m, Celebrate the Strength in Our Communities this BIPOC Mental Health Month

News & Announcements

  • Physicians
  • PPGs
  • Hospitals
  • Ancillary providers
  • Cal MediConnect

Summary:  Provides resources to providers who have patients that are part of the Black, Indigenous, and People of Color (BIPOC), or lesbian, gay, bisexual, transgender, and questioning (or queer) (LGBTQ) communities and struggle with mental health issues.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

July 16, 2021

21-517m, Reminder: Submit Claims with Correct Coding to Avoid Rejections

News & Announcements

  • Physicians
  • PPGs
  • Hospitals
  • Ancillary providers
  • Medi-Cal (all counties)

Summary:  Informs providers on how Medi-Cal claims are processed when they contain both an NDC and a HCPCS code.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

July 16, 2021

21-519m, Reminder: Submit Claims with Correct Coding to Avoid Rejections

News & Announcements

  • Physicians
  • PPGs
  • Hospitals
  • Ancillary providers
  • Cal MediConnect

Summary:  Informs providers on how Medi-Cal claims are processed when they contain both an NDC and a HCPCS code.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

July 26, 2021

21-495m, Critical Action Needed to Comply with Decertification Notices

Regulatory

  • Ancillary providers

(Long-term Care facilities)

  • Medicare Advantage
  • Medi-Cal  (all counties)

Summary:  Provides information about the requirements to notify the plan when a provider receives a decertification notice from the California Department of Public Health (CDPH) and the critical actions a provider must take to comply with the notice.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

July 26, 2021

21-507m, Help Your Patients Manage Heart Disease, Stay Mentally Fit and More

News & Announcements

  • Physicians
  • PPGs
  • Ancillary providers
  • Medi-Cal (all counties)

Summary:  Help your patients lose weight, stop smoking and live healthier lives. You can refer patients to these no-cost health programs and use the resources to meet the California Department of Health Care Services (DHCS) Staying Healthy Assessments’ (SHA) requirements.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

July 30, 2021

21-541m, Get Ready for the 2021 Provider Appointment Availability, After-Hours and Telephone Access Surveys

News & Announcements

  • Physicians
  • PPGs
  • Ancillary providers
  • HMO/POS/HSP
  • PPO
  • EPO
  • Medicare Advantage
  • Medi-Cal (all counties)
  • Molina

Summary:  We will be conducting the annual provider appointment availability, after-hours and telephone access surveys starting in August and going through December 2021. Please use the appointment availability, after-hours and telephone access guidelines in the update to help you plan for the surveys.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

July 30, 2021

21-542m, Get Ready for the 2021 Provider Appointment Availability, After-Hours and Telephone Access Surveys

News & Announcements

  • Physicians
  • PPGs
  • Ancillary providers
  • Cal MediConnect

Summary:  We will be conducting the annual provider appointment availability, after-hours and telephone access surveys starting in August and going through December 2021. Please use the appointment availability, after-hours and telephone access guidelines in the update to help you plan for the surveys.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

July 30, 2021

21-551m, Interoperability Connects You, Your Patients and Health Plans

News & Announcements

  • Physicians
  • PPGs
  • Hospitals
  • Ancillary providers
  • HMO/POS/HSP
  • PPO
  • EPO
  • Medicare Advantage
  • Medi-Cal (all counties)

Summary:  Provides an overview of interoperability and the three main rules providers need to focus on to support digital patient access to healthcare information

 

Date posted

Number and title

Type of notice

Audience

Lines of business

July 30, 2021

21-552m, Interoperability Connects You, Your Patients and Health Plans

News & Announcements

  • Physicians
  • PPGs
  • Hospitals
  • Ancillary providers
  • Cal MediConnect

Summary:  Developed to give providers an overview about interoperability and the three main rules providers need to focus on to support digital patient access to healthcare information

 

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

provider portal

provider_services@healthnet.com

EnhancedCare PPO (SBG)

1-844-463-8188

provider portal

provider_services@healthnet.com

Health Net Employer Group HMO, POS, HSP, PPO, & EPO

1-800-641-7761

provider portal

provider_services@healthnet.com

IFP (CommunityCare HMO, PPO, PureCare HSP, PureCare One EPO)

1-888-926-2164

provider portal

provider_services@healthnet.com

Medicare (individual)

1-800-929-9224

provider portal

provider_services@healthnet.com

Medicare (employer group)

1-800-929-9224

provider portal

provider_services@healthnet.com

Medi-Cal

1-800-675-6110

provider portal

N/A
Cal Mediconnect – Los Angeles County1-855-464-3571N/Aprovider_services@healthnet.com
Cal Mediconnect – San Diego County1-855-464-3572N/Aprovider_services@healthnet.com

 



Last Updated: 08/06/2021