MedicaidAdministrativeMedium impact
25-120 Provider Communications Posted Online and Operations Manual Updates for January 2025
Health Net·CA·Pharmacy
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Health Net California published January 2025 provider communications including medication formulary changes, EVV system registration requirements, and medical policy updates. This is an informational summary of various policy changes rather than a specific billing rule change.
Action Required
Review the Provider Library at Health Net California for detailed information on Q1 2025 formulary changes, register for the state-sponsored EVV system if providing in-home services, and review December 2024 medical policy updates for procedures and services. Billing team should access the specific policy documents referenced to understand any billing implications for Medi-Cal patients in Fresno, Kings, and Madera counties.