MedicaidBilling CodesMedium impact
25-338sum Summary Update: 1st Quarter 2025 Injectable Medication HCPCS/DOFR Crosswalk
Health Net·CA·Pharmacy
Effective date
Jun 16, 2025
We identified it
Jun 20, 2026
Summary
Health Net California updated their Injectable Medication HCPCS/DOFR Crosswalk for Q1 2025, adding 16 new injectable medications, 15 new biosimilars, and making 40 updates to existing procedure codes. This affects billing and reimbursement responsibility for injectable medications under Medi-Cal in Imperial County.
Action Required
Before June 16, 2025: Billing team must download the complete update document (25-338) from the Health Net Provider Library to review all 16 new injectable medications, 40 code updates, and 15 new biosimilars. Update billing system with new HCPCS codes and DOFR categories. Review provider operations manual revisions for compliance requirements.