MedicaidAdministrativeMedium impact
25-291 Avoid Behavioral Health Claim Payment Delays & Denials
Health Net·CA · Psychiatry·Reimbursement
Effective date
Mar 28, 2025
We identified it
Jun 20, 2026
Summary
HealthNet California has issued updated guidance to help behavioral health providers avoid claim payment delays and denials. This policy provides essential tips to streamline claim submissions and simplify the payment process for behavioral health services.
Action Required
Immediately: Behavioral health billing teams should download and review the Provider Update PDF from HealthNet California's provider library. Review current claim submission processes against the streamlined guidelines to identify potential areas causing delays or denials. Update billing workflows based on the essential tips provided to ensure faster claim processing.