23-649 See What News Is Online for June 2023
Date: 07/07/23
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 June 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 |
|---|---|---|---|---|
June 8, 2023 23-489m, Filter Paper Testing for Lead in Children Discontinued by the CDC and CLPPB | Regulatory | Physicians PPGs Hospitals Ancillary providers
| Medi-Cal (all counties)
| The Childhood Lead Poisoning Prevention Branch (CLPPB) has issued a policy requiring the discontinuation of filter paper testing for lead in children. If you are currently using filter paper testing for blood lead tests, please discontinue its use, and follow the instructions in this update. |
June 16, 2023 23-457m (PDF), Use findhelp to Submit ECM Referrals | News & Announcements | Physicians PPGs Hospitals ECM providers CS providers
| Medi-Cal (all counties)
| This communication informs Medi-Cal providers who don’t have access to the provider portal or website that they can submit referrals for Enhanced Care Management (ECM) services through findhelp. The flyer has links and QR codes for quick access and lists the steps to complete before submitting a referral. |
June 22, 2023 23-429m (PDF), Use Correct CPT Codes and HCPCS Billing for Medicare | News & Announcements | Physicians PPGs
| Medicare (Wellcare By Health Net) | This communication helps providers use accurate CPT Category II codes and HCPCS codes, and improve efficiencies in closing patient care gaps and data collection for performance measurement. |
June 26, 2023 23-585m, We Want to Hear From You – 2023 Provider Satisfaction Survey | Regulatory | Physicians PPGs Ancillary providers
| IFP (HMO/PPO) Employer Group (HMO/POS/HSP, PPO, EPO) Medi-Cal (all counties) Medicare (Wellcare By Health Net) HMO, PPO | Share your feedback in the Provider Satisfaction Survey to help us improve and better serve you. |
June 27, 2023 23-535m, Expect More Patients From Medi-Cal Expansion for Ages 26 Through 49 | Regulatory | PPGs
| Medi-Cal (all counties)
| This communication informs PPGs of Senate Bill 184 (Chapter 47, Statutes of 2022), which expands full-scope Medi-Cal coverage to adults ages 26 through 49, regardless of immigration status, beginning on |
June 29, 2023 23-643m, Prioritize Bicillin® L-A to Treat Syphilis in Pregnant Persons Until Q4 2023 | News & Announcements | Physicians PPGs Hospitals
| IFP (HMO/PPO) Employer Group (HMO/POS/HSP, PPO, EPO) Medi-Cal (all counties) Medicare (Wellcare By | This notice to providers is about the drug shortage for Bicillin® and the California Department of Public Health (CDPH) STD Control Branch’s (STDCB’s) recommendations for prioritizing its use. The shortage may last until fourth quarter 2023. This drug is used to treat pregnant persons infected with or exposed to syphilis or for those who cannot take doxycycline to treat syphilis. |
June 29, 2023 23-583m, Avoid Claims Delays: SNFs Should Not Bill Room and Board for a Medi-Cal Member on Hospice | News & Announcements | Ancillary providers
| Medi-Cal (all counties)
| This communication is to remind skilled nursing facilities (SNFs) that hospice providers bill for room and board (R&B) charges with revenue code 0658 for a Medi-Cal hospice patient residing in a long-term care facility. SNFs should not bill for R&B for such members. |
June 30, 2023 23-538m (PDF), Bill Preventive Colonoscopies with Correct Modifiers for No Cost Share Benefits | News & Announcements | Physicians PPGs Hospitals Ancillary providers
| IFP (HMO/PPO) Employer Group (HMO/POS/HSP, PPO, EPO) Medi-Cal (all counties) Medicare (Wellcare By Health Net) HMO, PPO | This provider update was developed to notify participating providers to bill preventive colonoscopies with correct modifiers to ensure no out-of-pocket costs for members and avoid claim issues.
|
June 30, 2023 23-496m, New Flyer Makes It Easy to Access Prior Authorization Request Guidelines | News & Announcements | Physicians PPGs Hospitals Ancillary providers ECM providers CS providers
| IFP (HMO/PPO) Employer Group (HMO/POS/HSP, PPO, EPO) Medi-Cal (all counties) Medicare (Wellcare By Health Net) HMO, PPO | This communication informs providers about the new resource flyer that providers can access online and use when filling out a prior authorization request. The flyer includes information about timelines, how to avoid delays, available online tools, what information is required, and more. |
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 portal.
This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary providers, Community Supports (CS) Providers, and Enhanced Care Management (ECM) Providers.