MedicaidAdministrativeMedium impact
24-135 Prepare to Retrieve Medical Records for DHCS Encounter Data Validation
Health Net·CA·Provider News
Effective date
Feb 1, 2025
We identified it
Jun 20, 2026
Summary
Health Net providers in specified California counties must be prepared to provide medical records if selected for DHCS Encounter Data Validation study starting February 2025. Datafied will contact selected providers to request specific medical records from 2022 to validate encounter data accuracy.
Action Required
Starting February 2025: If contacted by Datafied, providers must respond promptly to medical record requests for EDV study. Retrieve requested records from 2022 including specific dates of service, supporting documentation, patient demographics, and additional non-lab/DME/inpatient visit records closest to requested dates. Complete tracking sheet and submit by deadline provided. Contact Health Net Provider Services if questions arise.