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21-703 See What News is Online for September 2021

Date: 10/07/21

View the latest info that can help you do business with us

The table below outlines communications posted in the Provider Library in September 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

Sept. 1, 2021

21-457m, Help Your Patients Achieve Better Health Outcomes

News & Announcements

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

Summary:  Provides an overview of the quality management program and improvement processes. Instructions are included on how to obtain additional information from the provider website.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

Sept. 1, 2021

21-478m, Help Your Patients Achieve Better Health Outcomes

News & Announcements

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

Summary:  Provides an overview of the quality management program and improvement processes. Instructions are included on how to obtain additional information from the provider website.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

Sept. 1, 2021

21-590m, Help Your Patients Achieve Better Health Outcomes

News & Announcements

  • Physicians
  • PPGs
  • Hospitals
  • Ancillary providers
  • HMO/POS/HSP
  • PPO
  • EPO
  • Medicare Advantage

Summary:  Provides an overview of the quality management program and improvement processes. Instructions are included on how to obtain additional information from the provider website.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

Sept. 14, 2021

21-642m, Enhance Your Patient Care with the Medi-Cal Primary Care Physician Toolkit

News & Announcements

  • Physicians
  • Medi-Cal (all counties)
  • Molina

Summary:  Notice to primary care physicians about a new online dental resource available to them. The Medi-Cal Primary Care Physician Toolkit was developed by the Medi-Cal Dental Program and offers links to many resources, such as oral health guidelines, training, videos, and more.    

 

Date posted

Number and title

Type of notice

Audience

Lines of business

Sept. 21, 2021

21-670m, Be Part of Your Patient's First Steps to Heal ACEs and Toxic Stress

News & Announcements

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

Summary:  Information is given on how to register and self-attest for adverse childhood experiences (ACEs) online training. Medi-Cal providers can take the training at no cost. Once certified, the provider can receive payment for ACEs screening billed on claims.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

Sept. 23, 2021

21-662m, Required Medi-Cal Training and Attestation Form

News & Announcements

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

Summary: As a reminder, newly contracting providers for Medi-Cal should complete required Medi-Cal training, sign and return the training attestation form. Refer to the provider update on how to complete the training and how to request in-person or virtual training. 

 

Date posted

Number and title

Type of notice

Audience

Lines of business

Sept 27, 2021

21-658m, Learn How to Prevent Childhood Lead Poisoning with these Webinars

News & Announcements

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

Summary:  The Childhood Lead Poisoning Prevention Branch of the California Department of Public Health is holding an educational webinar series during National Lead Poisoning Prevention Week. Each webinar is open to the public but targets a particular audience or population. Refer to the provider update for more information about topics, target audiences and registration.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

Sept. 28, 2021

21-686m, 2020 Provider Appointment Availability and After-Hours Access Survey Results

News & Announcements

  • Physicians
  • PPGs
  • Ancillary providers
  • HMO/POS/HSP
  • PPO
  • EPO
  • Medicare Advantage

Summary:  The 2020 Provider Appointment Availability and After-Hours Access Survey results are in. See how 2020 results compared to 2019 and guidelines to maintain access standards. The survey results are used to monitor provider compliance with timely access and after-hours regulations, and evaluate the effectiveness of the network to meet the needs and preferences of Health Net and California Health & Wellness members.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

Sept. 28, 2021

21-687m, 2020 Provider Appointment Availability and After-Hours Access Survey Results

News & Announcements

  • Physicians
  • PPGs
  • Ancillary providers
  • Medi-Cal

Summary:  The 2020 Provider Appointment Availability and After-Hours Access Survey results are in. See how 2020 results compared to 2019 and guidelines to maintain access standards. The survey results are used to monitor provider compliance with timely access and after-hours regulations, and evaluate the effectiveness of the network to meet the needs and preferences of Health Net and California Health & Wellness members.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

Sept. 29, 2021

21- 695m, Use the New Fax Numbers for Transplant Prior Auth Requests

News & Announcements

  • Physicians
  • PPGs
  • Hospitals
  • Ancillary providers
  • HMO/POS/HSP
  • PPO
  • EPO
  • Medicare Advantage
  • Medi-Cal
  • Cal MediConnect

Summary:  Informing providers about the new fax numbers to use only for transplant prior authorization requests. All other services require a check for the correct fax number, which can be found in the Provider Library under Contacts for the Prior Authorization Department. A link is included in the updates.

 

Date posted

Number and title

Type of notice

Audience

Lines of business

Sept. 30, 2021

21-689m, Help Meet Members’ Language Needs with New Requirements

Regulatory

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

Summary:  Providers are informed of requirements related to Department of Health Care Services All Plan Letter (APL) 21-004 and Dental APL 21-001 concerning threshold languages; Executive Order N-43-20 issued by Governor Gavin Newsom pertaining to video consent; and the National Committee for Quality Assurance’s plan requirements related to gender demographics for Multicultural Health Care (MHC) Distinction Accreditation (Standard MHC.5.A).

 

Date posted

Number and title

Type of notice

Audience

Lines of business

Sept. 30, 2021

21-619m, Easily Update Your Demographics Online

Regulatory

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

Summary:  The communication was developed to remind providers to validate their demographic information online so that it is reflected correctly on the website, and of the advanced notification time frames that must be adhered to when they have changes.

 

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: 10/05/2021