Medicare AdvantageAdministrativeLow impact
24-209 Provider Communications Posted Online and Operations Manual Updates for February 2024
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
This policy provides a summary of provider communications and operations manual updates posted in February 2024, including updates to injectable medication HCPCS crosswalk, provider exclusion monitoring requirements, and temporary removal of lactation services information. No new billing requirements are introduced, but providers should be aware of updated resources and temporarily unavailable lactation-related forms.
Action Required
Immediately: Review the updated Injectable Medication HCPCS/DOFR Crosswalk for 4th Quarter 2023 if billing for injectable medications. Regularly check provider exclusion lists through the provider website to ensure compliance. Note that lactation education forms and therapeutic formula authorization forms are temporarily unavailable and being updated.