25-604 Annual Review and Updates to the Behavioral Health Provider Operations Manual

Date: 07/25/25

Health Net’s Medi-Cal contract requires us to complete a comprehensive annual review of this manual

To meet Medi-Cal contract requirements, Health Net has conducted a comprehensive annual review of the Behavioral Health provider operations manual.

Key revisions

Based on this comprehensive review, relevant sections of the Behavioral Health provider operations manual have been revised as needed to align with Medi-Cal contract requirements and contractual, administrative and plan updates and changes. The sections with changes are noted below:

• Section 2: Important Contacts.
• Section 3: Practitioner Responsibility.
• Section 5: Network Adequacy and Practitioner Availability Standards.
• Section 6: Member Access to Practitioners.
• Section 8: Level of Care and Treatment Criteria.
• Section 9: Utilization Management – Outpatient Services.
• Section 10: Utilization Management – Higher Level of Care

Additional information

For the latest and most updated information, access the Behavioral Health provider operations manual. 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.