Medicare AdvantageAdministrativeMedium impact
Provider Communications and Operations Manual Updates for December 2023
Health Net·CA·Pharmacy
Effective date
Oct 14, 2023
We identified it
Jun 20, 2026
Summary
Health Net California published their monthly provider communications summary for November 2023, highlighting two key updates: OPM/FEHBP exclusions were added to provider monitoring requirements, and the Injectable Medications HCPCS crosswalk was updated for Q2 and Q3 2023.
Action Required
Immediately: Billing team should review the updated Injectable Medications HCPCS/DOFR Crosswalk for Q2 and Q3 2023 changes and update billing system mappings accordingly. Also ensure OPM/FEHBP exclusions are reflected in provider monitoring processes. Contact Health Net Provider Services Center if questions arise about specific injectable medication codes or exclusion requirements.