24-120 Check Out the New Payment Policy Webpage

Date: 04/10/24

Policies are listed on one page for easy access

The Plan’s payment policies are now viewable on a dedicated webpage on the publicly facing provider website. The policies are easy to find and display according to line of business or product.

Now, in addition to easy access to the Plan’s medical policies, you can also find the Plan’s payment policies at the same location at Health Net site > Resources For You.

Access the new payment policy webpage.

A list of payment policies is no longer stored in the provider operations manual in the Provider Library.

Code editing overview policy added

The new payment policy webpage also now includes payment policy CC.PP.011, Code Editing Overview, which serves as a reference guide on general coding and claims editing information.

Additional information

Relevant sections of the provider operations manuals have been revised to reflect the information contained in this update as applicable. Provider operations manuals are available electronically in the Provider Library on the
provider portal.

If you have questions regarding the information contained in this update, contact CalViva Health at 888-893-1569. Behavioral Health providers can call at 844-966-0298.
 

This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary Providers, Community Supports (CS) Providers, Enhanced Care Management (ECM) Providers, and Behavioral Health Providers.

This information applies to Medi-Cal in Fresno, Kings and Madera counties.