Medicare AdvantageAdministrativeMedium impact
24-751m 2024 Medicare and Medicare DSNP Plan Codes with Plan Name and Service Area
Health Net·CA·Provider News
We identified it
Jun 20, 2026
Summary
Health Net updated their 2024 Medicare and Medicare DSNP plan codes and service areas for Wellcare plans. The policy provides a comprehensive table of H contract numbers, plan benefit packages (PBP), plan codes, and county availability to help identify DSNP members and their locations.
Action Required
Immediately: Billing team must update patient eligibility verification systems with the new 2024 Wellcare plan codes (KOR, KOS, KOT, KOU, KOW, KOX, KP6, KP7, KP8, KP4, KP5, KPC, KPD, KPE, KP3) and corresponding H contract numbers (H0562, H3561). Update county-specific plan availability in billing software to ensure accurate member identification and proper claims routing for DSNP patients.