22-277 See What News Is Online for March 2022
Date: 04/07/22
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.
Get the latest information that can help you do business with us
The table below outlines communications posted in the Provider Library in March 2022. 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 business1 | Summary |
|---|---|---|---|---|---|
March 4, 2022 | 22-003m, Population Health Management Programs for Providers and Members | News & Announcements |
|
| Informs providers about a resource flyer available to them that lists the different member and provider programs we offer. It includes a brief program description and contact information. |
March 4, 2022 | 22-005m, Population Health Management Programs for Providers and Members | News & Announcements |
|
| Informs providers about a resource flyer available to them that lists the different member and provider programs we offer. It includes a brief program description and contact information. |
March 10, 2022 | 22-206m, Improve Care for Members Who Need Skilled Nursing Services with Help from Rockport | News & Announcements |
|
| This provider update was developed to notify providers of Health Net’s partnership with Rockport and the new episodic payment model. |
March 21, 2022 | 22-259m, Medicare Billing Changes for 2022 | Regulatory |
|
| Notifies providers about changes made by the Centers for Medicare & Medicaid Services for vaccine reimbursements, place of service (POS) codes for telehealth, notice of admission change, and skilled nursing facility interim billing. The changes went into effect on January 1, 2022 with POS code changes for telehealth effective April 4, 2022. |
March 22, 2022 | 22-192m, Easily Update Your Demographics Online | Regulatory |
|
| This twice-per-year notice to providers advises them of how to update their demographic information in the online provider directory, and provides instructions for them to get their information added back if it is not in the directory. |
March 22, 2022 | 22-193m, Easily Update Your Demographics Online | Regulatory |
|
| This twice-per-year notice to providers advises them of how to update their demographic information in the online provider directory, and provides instructions for them to get their information added back if it is not in the directory.
|
March 28, 2022 | 22-264m, Apply New Processes for Prescription Prior Authorization and Step Therapy, and Ensure PrEP Coverage | Regulatory |
|
| California Assembly Bill 347 requires new prescription prior authorization step therapy processes; California Bulletin 2021-10 describes required coverage for HIV pre-exposure prophylaxis (PrEP). |
March 28, 2022 | 22-216m, Expect More Patients from Medi-Cal’s Older Adult Expansion | Regulatory |
|
| California Assembly Bill 133 expands full-scope Medi-Cal coverage to adults ages 50 or older, regardless of immigration status. |
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.
Additional information
If you have questions regarding the information contained in this update, contact the Health Net Provider Services Center within 60 days, by phone or through the provider website as listed in the right-hand column.