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22-403 See What News Is Online for April 2022

Date: 05/06/22

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.

Go to the Provider Library for the latest information that can help you do business with us

The table below outlines communications posted in the Provider Library in April 2022. The table includes the posting date, material number and title, type of notice, applicable audience and counties, and a summary of the communication.

Access the Provider Library

Use either option below to access the Provider Library. Once in the library, select a line of business, then select Updates and Letters to view the communications referenced in this update in their entirety.

Option 1

1     Log in to Provider Portal.

2      Select Provider Library under Quick Links.

Option 2

Go directly to Provider Library.

Date posted

Number and title

Type of notice

Audience

Lines of business1

Summary

April 1, 2022

22-168m, Improve Your Patients’ Experience with Timely Access

News & Announcements

  • Physicians
  • PPGs
  • IFP (HMO, EPO, PPO)
  • Employer Group (HMO/POS/HSP, PPO, EPO)
  • Cal MediConnect
  • Medi-Cal (all counties)
  • Molina

Use this helpful tip sheet 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).

April 1, 2022

22-169m, Improve Your Patients’ Experience with Timely Access

News & Announcements

  • Physicians
  • PPGs
  • Medicare Advantage HMO/PPO

Use this helpful tip sheet 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).

April 8, 2022

22-265m, Avoid Claims Issues for Colorectal Cancer Screenings

News & Announcements

  • Physicians
  • PPGs
  • Hospitals
  • Ancillary providers
  • IFP (HMO, EPO, PPO)
  • Employer Group (HMO/POS/HSP, PPO, EPO)

This update is a reminder to providers that in-network preventive colonoscopies are covered benefits with no cost sharing when billed with modifier 33.

April 14, 2022

22-301m, How to Help Your Paper Facility Claims Process Faster

News & Announcements

  • PPGs
  • Hospitals
  • IFP (HMO, EPO, PPO)
  • Employer Group (HMO/POS/HSP, PPO, EPO)
  • Medi-Cal (all counties)

This update gives tips about what to enter in specific boxes on a paper UB-04 facility claim that are often overlooked or incorrectly filled out. It also includes answers to frequently asked questions from providers about claim requirements for services given during the COVID-19 pandemic.

April 19, 2022

22-330m, Direct and Easy Access to Specialty Care

News & Announcements

  • Physicians
  • PPGs

 

  • IFP (HMO, EPO, PPO)
  • Employer Group (HMO/POS/HSP, PPO, EPO)
  • Medi-Cal (all counties)

Primary care physicians (PCPs) are encouraged to use eConsult, an e-consultation platform that allows PCPs to receive input from specialists regarding treatment and management in support of their members. Additional information about eConsult can be found in the No-Cost, Direct and Easy Access to Specialty Care Expertise flyer, available on the provider portal.

April 29, 2022

22-353m, Recognize and Address Mental Health Symptoms Early

News & Announcements

  • Physicians
  • PPGs
  • IFP (HMO, EPO, PPO)
  • Employer Group (HMO/POS/HSP, PPO, EPO)
  • Cal MediConnect
  • Medi-Cal (all counties)
  • Molina

This Flyer promotes the mental health observance and reminds providers that May is Mental Health month.

April 29, 2022

22-354m, Recognize and Address Mental Health Symptoms Early

News & Announcements

  • Physicians
  • PPGs
  • Medicare Advantage HMO/PPO

This Flyer promotes the mental health observance and reminds providers that May is Mental Health month.

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 by email within 60 days, by phone or through the provider website.

 



Last Updated: 05/06/2022