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Medicare AdvantageAdministrativeMedium impact

24-1090m Use Updated Templates to Notify Members of Specialist Terminations

Health Net·CA·Provider News
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Health Net now requires participating physician groups to use updated CMS-approved letter templates when notifying members of specialist terminations. Different templates must be used based on H-contract numbers for Medicare Advantage and Dual Special Needs Plans.

Action Required

Action needed
Immediately: Download and implement the updated specialist termination notification templates from Health Net's Provider Library. Use Template H0562 for Medicare Advantage products and Template H3561 for Dual Special Needs Plans (Wellcare Dual Align, Wellcare CalViva Dual Align, Wellcare Dual Liberty). Verify correct H-contract number matches in template footer before use. Contact Health Net Provider Services at 800-929-9224 with questions.

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