MedicaidBilling CodesMedium impact
24-1058sum Summary Update: 3rd Quarter 2024 Injectable Medication HCPCS/DOFR Crosswalk
Health Net·CA·Pharmacy
Effective date
Dec 6, 2024
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/Division of Financial Responsibility (DOFR) Crosswalk effective December 6, 2024. The update includes 22 new injectable medications, 14 procedure code changes, and 8 new generic drug updates that affect billing and responsibility determination for injectable medications.
Action Required
By December 6, 2024: Billing team must access the complete update 24-1058 from the Health Net provider portal under Updates and Letters > 2024. Review and implement the 22 new injectable medications, 14 procedure code updates, and 8 generic drug changes into billing system. Update DOFR crosswalk references and billing protocols for injectable medications. Contact Community Health Plan of Imperial Valley at 833-236-4141 with questions.