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22-940 See What News Is Online for October 2022

Date: 11/08/22

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 October 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

Audience1

Lines of business

Summary

October 21, 2022

22-861m, HEDIS® Annual Medical Records Collection Begins
December 1, 2022

News & Announcements

Physicians

PPGs

 

(HMO/POS/HSP, PPO, EPO)

Medi-Cal (all counties)

Molina

Cal MediConnect

Medicare (WCBHN)

Health Net is collecting data for the Healthcare Effectiveness Data and Information Set (HEDIS) Measurement Year 2022 medical record collection project, used to evaluate quality of care. Refer to this update to learn more about the project and how to submit the requested information.

October 14, 2022

22-841m, Reduce Overdoses and Save Lives With These Programs and Resources

News & Announcements

Hospitals

 

 

(HMO/POS/HSP, PPO, EPO)

Medi-Cal (all counties)

Molina

Cal MediConnect

Medicare (WCBHN)

Officials from the Los Angeles County Department of Public Health have encouraged disseminating information about opportunities and recommendations for Los Angeles County's hospitals and emergency departments, which are in a key position to offer interventions to individuals in the community who are at risk for overdose.

 

October 21, 2022

22-885m, 2021 Provider Appointment Availability and After-Hours Access Survey Results

News & Announcements

Physicians

PPGs

Hospitals

Ancillary providers

Medi-Cal (all counties)

Molina

 

Review the results of the appointment availability and after-hours access surveys, identify metrics that failed to meet performance targets, and consider steps to ensure members have reasonable access to care.

October 21, 2022

22-887m, 2021 Provider Appointment Availability and After-Hours Access Survey Results

News & Announcements

Physicians

PPGs

Hospitals

Ancillary providers

(HMO/POS/HSP, PPO, EPO)

Medicare (WCBHN)

Review the results of the appointment availability and after-hours access surveys, identify metrics that failed to meet performance targets, and consider steps to ensure members have reasonable access to care.

October 12, 2022

22-860m, Update and Certify Provider Data in CMS’s National Plan & Provider Enumeration System (NPPES)

News & Announcements

Physicians

PPGs

Hospitals

Ancillary providers

Medicare (WCBHN)

Providers are encouraged to ensure the accuracy of their National Provider Identifier (NPI) data in the National Plan & Provider Enumeration System (NPPES). Maintaining current NPPES data meets a legal requirement, reduces the frequency of Health Net contacting providers, and benefits Medicare recipients.

October 28, 2022

22-926m, Here's the Latest on Available Weight Management Program Resources

News & Announcements

Physicians

PPGs

Hospitals

Ancillary providers

Medi-Cal (all counties)

 

Notify providers about the changes to the Fit Families for Life (FFFL) weight management program: 1) The workout DVDs have been replaced with online video clips; 2) Information added about how to refer members to the program; 3) FFFL referral form has been updated and will be posted in the Provider Library under Medi-Cal > Forms and References to replace the current form.

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.

 

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.



Last Updated: 11/08/2022