23-993 See What News Is Online for August 2023
Date: 09/08/23
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 August 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 |
|---|---|---|---|---|
August 3, 2023 23-813m (PDF), Get Ready for the 2023 Provider Appointment Availability, After-Hours and Phone Access Surveys | News & Announcements | Physicians PPGs Ancillary providers ECM providers CS providers
| IFP (HMO/PPO) Medicare (Wellcare By Health Net) HMO, PPO Medi-Cal (all counties) Molina
| This update is to notify providers that the Plan will be conducting its annual Provider Appointment Availability, After-Hours and Telephone Access surveys starting July through December 2023. The update helps providers plan for the surveys by including appointment availability, after-hours and telephone access guidelines.
|
August 7, 2023 23-841m, Easily Exchange Clinical Information with Epic Payer Platform | News & Announcements | PPGs Hospitals | IFP (HMO/PPO) Medicare (Wellcare By Health Net) HMO, PPO
| This provider update has been developed to inform providers of Epic Payer Platform, which allows for clinical data exchange for health systems and providers using Epic electronic medical records. |
August 10, 2023 23-761m, HIP Incentive Program Offered Through December 31, 2023 | News & Announcements | Physicians
| Medi-Cal (all counties)
| The communication notifies physicians that the HEDIS® Improvement Program (HIP) offers $75 incentive for each confirmed pregnancy. The program will be offered through December 31, 2023. Providers need to fill out and fax the Confirmation of Pregnancy Form to document each pregnancy to receive the incentive. |
August 18, 2023 23-642m, Know What You Are Responsible for to Coordinate Care for Your D-SNP Patients | Contractual | Physicians PPGs Hospitals Ancillary providers | Medicare (Wellcare By Health Net) HMO, PPO
| This communication has been developed as an update to share how to submit referrals and potential additional services for providers to support D-SNP members. |
August 18, 2023 23-558m, Stay Informed With the Summer 2023 Provider Pulse Newsletter | News & Announcements | Physicians PPGs
| IFP (HMO/PPO) Medi-Cal (all counties)
| This provider update advises providers that the summer 2023 issue of the quarterly Provider Pulse newsletter is now available online and how to access it on the provider portal. The summer 2023 Provider Pulse newsletter highlights helping members keep their Medi-Cal coverage, treating opioid overdose with Naloxone and honoring providers with the Summit Awards for quality care.
|
August 18, 2023 23-560m, Stay Informed With the Summer 2023 Provider Pulse Newsletter | News & Announcements | Physicians PPGs Hospitals Ancillary providers
| Medicare (Wellcare By Health Net) HMO, PPO
| This communication advises providers that the summer 2023 issue of the quarterly Provider Pulse newsletter is now available online and how to access it on the provider portal. The summer 2023 Provider Pulse newsletter highlights helping members keep their Medi-Cal coverage, treating opioid overdose with Naloxone and honoring providers with the Summit Awards for quality care. |
August 25, 2023 23-937m (PDF), Improve Your Access and Availability Webinar | News & Announcements | Physicians PPGs Ancillary providers
| IFP (HMO/PPO) Medicare (Wellcare By Health Net) HMO, PPO Medi-Cal (all counties) Molina | This flyer has been developed as an update that informs providers of additional webinar training dates for access and availability requirements. |
August 25, 2023 23-938m (PDF), Improve Your Access and Availability Webinar | News & Announcements | Physicians PPGs Ancillary providers
| Medicare (Wellcare By Health Net) HMO, PPO
| These flyers have been developed as an update that informs providers of additional webinar training dates for access and availability requirements.
|
August 31, 2023 23-967m (PDF), New Changes to Prop 56 Directed Payments for Family Planning Services | Contractual | Physicians PPGs Ancillary providers
| Medi-Cal (all counties)
| The communication notifies providers about APL 23-008, Proposition 56 Directed Payments for Family Planning Services, dated June 27, 2023. The updates include: 1) changes to add-on dollar amounts for certain family planning services; 2) the list of information that should be part of an inquiry or dispute and where to send the information; 3) where to find information about clean claims or encounters. |
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.
For Medi-Cal, this information applies to Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties.