MedicaidBilling CodesMedium impact
25-021sum Summary Update: 4th Quarter 2024 Injectable Medication HCPCS/DOFR Crosswalk
Health Net·CA·Pharmacy
Effective date
Mar 18, 2025
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/Division of Financial Responsibility crosswalk with 23 new injectable medications, 11 procedure code updates, and 7 new generic drug additions. These changes affect how injectable medications are categorized and billed for Medi-Cal patients in Imperial County.
Action Required
Before March 18, 2025: Billing team must download the complete update 25-021 from the Provider Library to review the 23 new injectable medications, 11 updated procedure codes, and 7 new generic drugs. Update billing system with new HCPCS codes and DOFR categories. Contact Community Health Plan of Imperial Valley at 833-236-4141 with questions.