24-658m, Submit HEDIS Supplemental Data By August 1, 2024
Date: 07/01/24
HEDIS®1 live date is due September 3, 2024
Health Net, on behalf of CalViva Health, would like to remind providers to document and submit all new supplemental data for the measurement year (MY) 2024 reporting. In order to impact MY 2024 gaps in care, your data file and live data is required by the dates specified below. Otherwise, any data received on or after the dates specified below will be used to impact the following year for the MY 2025 reporting.
Critical deadlines:
- All new supplemental data sources must be documented by August 1, 2024.
- Please also note a file containing live data is required by September 3, 2024. This file will be used to perform checks and balances and ensure the file can be moved forward to close your gaps in care.
Note: If you are not able to meet these deadlines but wish to move forward with submitting your data file, it will be processed and used in the following measurement year for the MY 2025 reporting.
Please note this does not apply to established sources the HEDIS team has already received.
Questions?
If you have questions, please contact your assigned Plan representative or our HEDIS supplemental data team via email. Please do not include protected health information or personally identifiable information in your email.
Additional information
Providers are encouraged to access the provider portal online at provider.healthnetcalifornia.com for real-time information, including eligibility verification, claims status, prior authorization status, plan summaries, and more.
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.
1HEDIS – Healthcare Effectiveness Data and Information Set.
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.