Traditional MedicareAdministrativeMedium impact
24-940 Update: Medicare Secondary Claims Now Received Automatically from Centers for Medicare & Medicaid Services (CMS)
Health Net·CA·Reimbursement
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Effective October 1, 2024, providers in Imperial County no longer need to submit secondary Medicare claims for dual eligible members directly to Health Net. Health Net now automatically receives these secondary claims from CMS, eliminating the previous requirement to submit claims with Medicare EOB copies.
Action Required
Immediately: Billing team in Imperial County must stop submitting secondary Medicare claims for dual eligible members to Health Net. Remove workflow steps that require attaching Medicare EOB copies for these claims. Update billing procedures to rely on automatic CMS submission. Contact Community Health Plan of Imperial Valley at 833-236-4141 with questions.