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MedicaidAdministrativeMedium impact

24-1208m Annual Medical Records Collection Begins January 2, 2025

Health Net·CA·Prior Authorization
Effective date
Jan 2, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net will begin collecting medical records for HEDIS quality measures from January 2, 2025 through May 30, 2025, using contractor Datafied. Providers must submit requested member records within 7 days when contacted, or complete a Certificate of No Record if records are unavailable.

Action Required

Action needed
Starting January 2, 2025: Medical records staff must respond to Datafied requests within 7 days by either submitting requested member records or completing the Certificate of No Record (CNR). Establish workflow to handle random record requests through May 30, 2025. Contact Datafied at 714-666-0951 if unable to meet 7-day deadline. Failure to respond will result in follow-up contacts from Datafied.