22-621 See What News Is Online for July 2022
Date: 08/08/22
This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary providers, Community Supports (CS) Providers, and Enhanced Care Management (ECM) Providers.
For Medi-Cal, this information applies to Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties.
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The table below outlines communications posted in the Provider Library in July 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, Number and title | Type of notice | Audience | Lines of business1 | Summary |
|---|---|---|---|---|
July 22, 2022 22-544m, Members Get Better, Simpler Medi-Cal from Mandatory Medi-Cal Enrollment | Regulatory | Physicians PPGs Hospitals Ancillary providers | Medi-Cal (all counties) Molina | Effective January 1, 2023, the Department of Health Care Services will be transitioning Medi-Cal beneficiaries who are currently excluded from or voluntary for managed care plan (MCP) enrollment into an MCP. They will no longer be permitted to remain in the state’s fee-for service delivery system. |
July 22, 2022 22-547m, Refer Members to Housing Transition Navigation Services | Contractual | Physicians PPGs Hospitals Ancillary providers Enhanced Care Management Providers Community Supports Providers | Medi-Cal (all counties) Molina Cal MediConnect | Gives an overview of Housing Transition Navigation Services, referring an eligible Medi-Cal member and the role of the Housing Navigator. The Housing Navigator works with members to develop a tailored permanent housing plan and other needed support services.
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July 25. 2022 22-525m, Request Authorization for Recuperative Care (Medical Respite Care) | News & Announcements | Physicians PPGs Hospitals Enhanced Care Management Providers Community Supports Providers | Medi-Cal (all counties) | Prior authorization is required for recuperative care (medical respite care) for Medi-Cal members. The communication also includes a recommended process for obtaining authorization. |
July 28, 2022 22-597m, Help Your Patients Stay on Their Medication Therapy Plan | News & Announcements | Physicians PPGs
| Employer Group (HMO/POS/HSP, PPO, EPO)
| Using this tip sheet, you can discuss with your patients how to stay on top of their medications. The newest version includes updates to medications and exclusions. |
July 29, 2022 22-563m, Get Ready for the 2022 Provider Appointment Availability, After-Hours and Phone Access Surveys | News & Announcements | Physicians PPGs Ancillary providers | Employer Group (HMO/POS/HSP, PPO, EPO) Medi-Cal (all counties) Molina Cal MediConnect Medicare (WCBHN) | This update is to notify providers that Health Net will be conducting its annual Provider Appointment Availability, After-Hours and Telephone Access surveys starting August through December 2022. The update helps providers plan for the surveys by including appointment availability, after-hours and telephone access guidelines.
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July 29, 2022 22-559m, We Want to Hear from You – 2022 Provider Satisfaction Survey | News & Announcements | Physicians PPGs Ancillary providers | Employer Group (HMO/POS/HSP, PPO, EPO) Medi-Cal (all counties) Molina Cal MediConnect Medicare (WCBHN) | This update informs providers about the upcoming annual Provider Satisfaction Survey and encourages participation in the survey.
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July 29, 2022 22-570m, Online Tip Sheets Offer Quick Information with Best Practices | News & Announcements | Physicians PPGs Hospitals Ancillary providers | Employer Group (HMO/POS/HSP, PPO, EPO) Medi-Cal (all counties) Molina Cal MediConnect | This flyer notifies providers about new and updated tip sheets that are available online and cover many topics. Instructions are also included on how to access them directly on the website. |
July 29, 2022 22-573m, Online Tip Sheets Offer Quick Information with Best Practices | News & Announcements | Physicians PPGs Hospitals Ancillary providers | Medicare (Wellcare By Health Net) | This flyer notifies providers about new and updated tip sheets that are available online and cover many topics. Instructions are also included on how to access them directly on the website. |
July 29, 2022 22-598m, Cal MediConnect Enrollees Can Access CalAIM Community Supports Services | News & Announcements | Physicians PPGs Hospitals Enhanced Care Management Providers Community Supports Providers | Cal MediConnect | Cal MediConnect enrollees are eligible to access CalAIM Community Supports services. (Enrollees are not eligible to access the CalAIM Enhanced Care Management benefit.)
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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.