MedicaidAdministrativeMedium impact
24-212 Provider Communications Posted Online and Operations Manual Updates for February 2024
Health Net·CA·Prior Authorization
Effective date
Feb 1, 2024
We identified it
Jun 20, 2026
Summary
CalViva Health posted February 2024 provider communications and operations manual updates including Medi-Cal coverage expansion, provider exclusion list updates, and claims submission reminders. Key updates include injectable medication crosswalk changes and temporary removal of lactation services authorization forms.
Action Required
Immediately: Billing team should review the updated Injectable Medication HCPCS/DOFR Crosswalk (effective 2/7/24) for Q4 2023 changes if billing injectable medications. Regularly check Office of Personnel Management FEHBP sanction and debarment lists and Restricted Provider Database to ensure compliance. Note that lactation services authorization forms are temporarily unavailable and being updated.