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MedicaidAdministrativeMedium impact

23-1125 See What News Is Online for September 2023

Health Net·CA·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

This is a summary document listing 10 policy updates posted in September 2023 covering various Medi-Cal topics including overpayment recovery, telehealth services, developmental screening payments, behavioral health treatment guidelines, and provider directory updates. All updates are specific to Medi-Cal providers in Fresno, Kings, and Madera counties in California.

Action Required

Action needed
Immediately: Review the Provider Library at Health Net California for detailed information on each of the 10 policy updates listed. Billing teams should prioritize reviewing policies related to Prop 56 directed payments for developmental screening ($59.90 payment continuing through 2023), ACEs screening training requirements, clean claims submission for pregnancy termination services, and updated Prop 56 physician service payments. Contact CalViva Health at 888-893-1569 for questions about specific policy details.

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