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23-215 See What News Is Online for February 2023

Date: 03/08/23

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 February 2023. 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 business2

Summary

February 21, 2023

23-183m, Maternity Care Includes Mental Health Screening

Regulatory

Physicians

PPGs

Hospitals

Ancillary providers

ECM providers

CS providers

 

Employer Group (HMO/POS/HSP, PPO, EPO)

Medi-Cal (all counties)

Molina

A reminder to providers who treat our maternal patients that they are required by law to screen for mental health conditions. Treatment for medically necessary mental health and substance use disorders is a covered benefit. See Senate Bill (SB) 1207.

February 28, 2023

23-193m, Site of Care Optimization for Therapeutic Infusions – 1st Quarter 2023

 

News & Announcements

Physicians

PPGs

 

IFP (HMO, PPO)

Employer Group (HMO/POS/HSP, PPO, EPO)

 

Informs providers about the availability of Site of Care Optimization for Therapeutic Infusions (SCOTI) program for Commercial (HMO, POS, EPO, HSP, PPO) and Exchange members. Members have access to alternative sites of infusion care through Coram® CVS Specialty™ Infusion Services.

February 28, 2023

23-195m, Changes to Endoscopy Matrix

Contractual

PPGs

Hospitals

Ancillary providers

 

Employer Group (HMO/POS/HSP, PPO, EPO)

Medi-Cal (all counties)

Wellcare By Health Net HMO, PPO

Learn the new endoscopy matrix additions, how the matrix is used and where it is located in the provider operations manual.

February 28, 2023

23-203m, 2023 Mandatory General Compliance Training Schedule

Regulatory

PPGs

 

IFP (HMO, PPO)

Medi-Cal (all counties)

Molina

Wellcare By Health Net HMO, PPO

This annual communication notifies delegates of training requirements related to the Medi-Cal contract. Details on courses, as well as dates and times for live sessions or links to view the on-demand sessions are included.

1 ECM – Enhanced Care Management; CS – Community Supports

2 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, by phone or through the provider website.

 

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.



Last Updated: 03/06/2023