MedicaidAdministrativeMedium impact
25-476m Learn Which Anesthesia and Facility Fees are PPG Responsibility for Dental Procedures
Health Net·CA · Dentistry, Anesthesiology, Oral & Maxillofacial Surgery·Provider News
Effective date
May 23, 2025
We identified it
Jun 20, 2026
Summary
HealthNet California has updated guidance for Participating Physician Groups (PPGs) on processing anesthesia and facility fees for dental procedures. PPGs must now use DHCS charts to determine who handles prior authorizations and payments for these services.
Action Required
Immediately: Billing team must download the Provider Update PDF from HealthNet's provider library and review DHCS charts to understand new responsibilities for processing anesthesia and facility fee prior authorizations and payments for dental procedures. Update workflow procedures to ensure correct processing based on the new guidance.