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MedicaidAdministrativeMedium impact

25-290 Avoid Behavioral Health Claim Payment Delays & Denials

Health Net·CA · Psychiatry·Reimbursement
Effective date
Mar 28, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net California has released new 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 Medi-Cal services in Fresno, Kings, and Madera counties.

Action Required

Action needed
By March 28, 2025: Behavioral health providers serving Medi-Cal patients in Fresno, Kings, and Madera counties should download and review the Provider Update PDF from Health Net California's provider library. Billing teams must implement the streamlined submission tips outlined in the guidance to prevent claim delays and denials.