MedicaidBilling CodesMedium impact
26-335sum Summary Update: 1st Quarter 2026 Injectable Medication HCPCS/DOFR Crosswalk
Health Net·CA·Pharmacy
Effective date
May 15, 2026
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/Division of Financial Responsibility Crosswalk for Medi-Cal in Imperial County, adding 11 new injectable medications, updating 98 existing procedure codes, and adding 8 new biosimilars. The changes affect how injectable medications are categorized for billing responsibility between providers and the health plan.
Action Required
Before May 15, 2026: Billing team must download the complete update document (26-335) from the Provider Library at healthnetcalifornia.com to review all 11 new injectable medications, 98 updated procedure codes, and 8 new biosimilar codes. Update billing system with new HCPCS codes and Division of Financial Responsibility categories to ensure proper claim processing for injectable medications in Imperial County Medi-Cal patients.