MedicaidAdministrativeMedium impact
24-1055 Provider Communications Posted Online and Operations Manual Updates for September 2024
Health Net·CA·Prior Authorization
Effective date
Sep 30, 2024
We identified it
Jun 20, 2026
Summary
Health Net has published a comprehensive summary of all provider communications and operations manual updates posted in September 2024, including changes to prior authorization requirements, billing guidelines, and operational procedures. This includes important updates on balance billing prohibitions, vaccine reimbursement changes, and new telehealth billing requirements with appropriate CPT and HCPCS coding guidance.
Action Required
Review all September 2024 communications listed in this summary document. Key immediate actions: 1) Ensure no balance billing of Medi-Cal members per 24-946m notice, 2) Update telehealth billing procedures with appropriate CPT and HCPCS codes per updated manual section, 3) Review pharmacy vaccine administration reimbursement changes effective 8/1/24 (retroactive to 1/1/23), 4) Access updated Health Industry Collaboration Effort toolkit for diverse population care. Billing teams should prioritize reviewing notices 24-941m for claims rejection prevention and 24-1002m for August 2024 medical policy changes.