21-782 Help Members Get Medical Supplies after Contract with Shield HealthCare Terminates
Date: 11/01/21
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.
Effective January 1, 2022, Health Net’s contract with Shield HealthCare will terminate
Shield HealthCare has elected to exercise its contract termination rights with Health Net.
Refer members to these vendors
Starting January 1, participating providers serving Health Net members who obtain medical or incontinence supplies or durable medical equipment from Shield HealthCare should refer them to contracted providers or suppliers, such as Byram Healthcare or J&B Medical Supply:
Byram Healthcare Centers, Inc.
877-902-9726
Fax: 866-992-6331
J&B Medical Supply Company, Inc.
800-737-0045
Fax: 800-737-0012
A complete list of contracting providers can be found online in the Health Net provider directory.
Relevant sections of Health Net’s provider operations manuals have been revised to reflect the information contained in this update as applicable. Provider operations manuals are available electronically in the Provider Library, located on Health Net’s provider website as listed below.
Line of Business | Telephone Number | Provider Portal | Email Address |
|---|---|---|---|
EnhancedCare PPO (IFP) | 1-844-463-8188 |
| |
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 |