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MedicaidAdministrativeMedium impact

24-310 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

Community Health Plan of Imperial Valley released their March 2024 provider communications summary, including updates on physician assistant abortion care services, demographic information updates, medical policy changes, and formulary updates for Q2 2024. Key operational manual changes include new 7-day post-discharge follow-up requirements and clarifications on transplant evaluation transfers.

Action Required

Action needed
Review the March 2024 communications posted in the Provider Library at providerlibrary.healthnetcalifornia.com. Billing team should note the 7-day post-discharge follow-up requirements effective 3/5/24 for hospital discharges and ensure discharge summaries for behavioral health higher levels of care are submitted within 24 hours of discharge effective 3/1/24. Contact 833-236-4141 for questions.