Medicare AdvantageAdministrativeMedium impact
24-1181 Provider Communications Posted Online and Operations Manual Updates for October 2024
Health Net·CA·Pharmacy
Effective date
Oct 3, 2024
We identified it
Jun 20, 2026
Summary
Health Net California released their October 2024 provider communications summary, highlighting multiple policy updates including new specialist termination letter templates, formulary changes for Q4 2024, and the discontinuation of the Decision Power program in favor of general health and wellness programs.
Action Required
Immediately: Review all October 2024 Health Net communications in the Provider Library. Update specialist termination notification processes to use new CMS-approved letter templates effective 10/3/24. Review Q4 2024 formulary changes for medication coverage updates. Replace any references to 'Decision Power program' with 'health and wellness programs' in practice materials.