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22-453 See What News Is Online for May 2022

Date: 06/09/22

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.

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

May 5, 2022

22-352m, Help Medi-Cal Members Get the Specialty Care They Need

News & Announcements

  • Physicians (Specialists)
  • Medi-Cal (San Diego County)

Health Net Medi-Cal members in San Diego County who are assigned to a Direct Network primary care physician, or a Direct Network Federally Qualified Health Center, can go to any Direct Network specialist contracted with Health Net for Medi-Cal. Prior authorization is not required for the initial specialist consult.

May 6, 2022

22-325m, Resources to Help You with ECM and Community Supports Referrals

News & Announcements

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

Providers can find resources and guidance to help them refer eligible members for Enhanced Care Management (ECM) and Community Supports (CS) services. Resources include how to submit referrals and directory links to find ECM and CS providers.

May 13, 2022

22-399m, New Law Requires Coverage for At-Home Specimen Collection Kits for HIV and STD

Legislative

  • Physicians
  • PPGs

 

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

This update informs providers that HIV and STD home test kits for specimen collection and lab costs are now a covered benefit and includes guidelines on how to obtain at-home test kits and submit claims.

May 19, 2022

22-281m, Help Patients Get the Right Behavioral Health Treatment through MHN

News & Announcements

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

This tip sheet was developed to help providers talk with members about behavioral health care that is available through MHN and the services it provides. It provides options on contacting MHN, finding MHN providers and telehealth services that best fit the member’s needs.

May 19, 2022

22-284m, Help Patients Get the Right Behavioral Health Treatment through MHN

News & Announcements

  • Physicians
  • PPGs
  • Hospitals
  • Ancillary providers
  • Medicare Advantage HMO/PPO

This tip sheet was developed to help providers talk with members about behavioral health care that is available through MHN and the services it provides. It provides options on contacting MHN, finding MHN providers and telehealth services that best fit the member’s needs.

May 27, 2022

22-413m, Complete Required Online Training to Receive Payments for Adverse Childhood Experiences (ACEs) Screenings

Regulatory

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

Providers can now get certified and become eligible to receive payment for conducting ACEs screenings by completing the required online training at no cost.

May 31, 2022

22-362m, Improve Your Access and Availability Webinar Flyer. No-cost webinars! Stay up to date on requirements and best practices.

News & Announcements

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

Learn how to improve your access and availability and get resources to help meet your requirements. You’ll learn how to increase member satisfaction and improve survey outcomes. Refer to this update on how to register for an upcoming no-cost webinar training.

May 31, 2022

22-363m, Improve Your Access and Availability Webinar Flyer. No-cost webinars! Stay up to date on requirements and best practices.

News & Announcements

  • Physicians
  • PPGs
  • Ancillary providers
  • Medicare Advantage HMO/PPO

Learn how to improve your access and availability and get resources to help meet your requirements. You’ll learn how to increase member satisfaction and improve survey outcomes. Refer to this update on how to register for an upcoming no-cost webinar training.

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

 



Last Updated: 06/07/2022