24-416 New Claims Submission Information for Medi-Cal Behavioral Health Services
Date: 06/27/24
Use the appropriate address and payer ID to submit claims, based on the dates of service
Effective September 1, 2024, there will be a new claims submission address and payer ID for Medi-Cal behavioral health services. Behavioral health providers must submit Medi-Cal behavioral health services claims, based on the date of service, using the addresses and payer IDs listed below.
For claims with overlapping dates of service, providers must split the claim and submit two separate claims.
Medi-Cal Claims Addresses and Payer IDs | |
---|---|
Date of Service Prior to | Date of Service On and After |
Health Net Medi-Cal Claims Payer ID: 22771 Claim status check | Health Net Medi-Cal Claims Payer ID: 95567 Claim status check |
Be sure to register for an account with Health Net
If you haven’t already, you must create an account with Health Net to access certain functions on the secure provider portal, such as eligibility and benefit checks, and claims status. If you do not have an account, go to provider portal and select Create New Account, then follow the prompts until registration is complete.
Additional information
Go to Administration of Behavioral Health Services Transition from MHN to Health Net for answers to the most frequently asked questions about this transition.
If you have questions regarding the information contained in this update, contact Behavioral Health Provider Services at 844-966-0298.
This information applies to Behavioral Health Providers.
For Medi-Cal, this information applies to Amador, Calaveras, Inyo, Los Angeles, Mono, Sacramento, San Joaquin, Stanislaus, Tulare and Tuolumne counties.