MedicaidAdministrativeMedium impact
25-536 Provider Communications Posted Online and Operations Manual Updates for May 2025
Health Net·CA · Dentistry, Psychiatry, OB-GYN·Provider News
Effective date
May 1, 2025
We identified it
Jun 20, 2026
Summary
HealthNet California published May 2025 updates including biosimilar medication preferences, medical policy changes, anesthesia/facility fee reminders for dental procedures, and expanded maternal mental health screening requirements for Medi-Cal members. Several operations manual sections were updated including obesity benefits, durable medical equipment ordering, and transplant center lists.
Action Required
Review HealthNet California's Provider Library for May 2025 updates. Billing teams should: 1) Update preferred biosimilar medication lists from notice 25-375m, 2) Review April 2025 medical policy changes from notice 25-472m for updated coverage guidelines, 3) Verify anesthesia and facility fee billing procedures for dental services per notice 25-477m, 4) Update maternal mental health screening documentation requirements per AB936 changes effective 5/1/25 to include all Medi-Cal plan members.