MedicaidBilling CodesMedium impact
23-1319sum Summary Update: New: 4th Quarter 2023 Injectable Medication HCPCS/DOFR Crosswalk
Health Net·CA · Oncology, Rheumatology, Endocrinology +3 more·Pharmacy
Effective date
Feb 7, 2024
We identified it
Jun 20, 2026
Summary
Health Net and CalViva Health updated their Injectable Medication HCPCS/Division of Financial Responsibility (DOFR) crosswalk effective February 7, 2024. The update includes 16 new injectable medications, 16 procedure code updates, and 2 new generic drugs that affect billing and financial responsibility categories.
Action Required
Before February 7, 2024: Billing team must download and review the complete update 23-1319 from the Health Net provider portal to identify specific HCPCS code changes for injectable medications. Update billing system with new DOFR categories and procedure codes. Contact CalViva Health at 888-893-1569 with questions. Claims may be processed incorrectly without updated crosswalk information.