Medicare AdvantageAdministrativeMedium impact
25-310 Provider Communications Posted Online and Operations Manual Updates for March 2025
Health Net·CA · Physical Therapy, Occupational Therapy, Psychiatry·Pharmacy
Effective date
Mar 1, 2025
We identified it
Jun 20, 2026
Summary
Health Net California released March 2025 provider communications including updates to routine foot care billing guidelines, changes to home infusion capitation for PPGs, updated injectable medication crosswalk, and extended Medicare appeal submission timeframes from 60 to 65 days. Key operational changes include telehealth billing requirement updates for behavioral health providers and claims status reporting system changes.
Action Required
Immediately: Review Health Net provider portal for updated routine foot care billing guidelines and implement new requirements. Update billing procedures for home infusion services - PPGs are no longer limited to Coram and can use any Health Net-contracted providers. Replace 300/308 report processes with secure provider portal login for claims status. For behavioral health providers: Update telehealth billing procedures per new requirements effective 3/28/25.