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MedicaidAdministrativeMedium impact

24-311 Provider Communications Posted Online and Operations Manual Updates for March 2024

Health Net·CA·Prior Authorization
Effective date
Mar 29, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

This is a March 2024 policy update summary for Medi-Cal providers in Fresno, Kings, and Madera counties covering various operational changes. Key updates include new discharge planning requirements with 7-day post-discharge follow-up, 24-hour discharge summary submission requirements for behavioral health, and clarifications on transplant evaluation transfer responsibilities.

Action Required

Action needed
Immediately: Review Provider Library for operational updates. Billing and clinical teams must implement 7-day post-discharge follow-up procedures for hospital discharges (effective 3/5/24). Behavioral health providers must submit discharge summaries within 24 hours of discharge (effective 3/1/24). Update workflow processes for inpatient concurrent review and transplant evaluation transfers to maintain proper utilization management responsibility.