MedicaidCoverageMedium impact
23-1098 No Wrong Door for Mental Health Services Policy Ensures Coordinated Care
Health Net·CA · Psychiatry, Family Medicine, Internal Medicine +1 more·Pharmacy
Effective date
Mar 30, 2022
We identified it
Jun 20, 2026
Summary
Health Net's No Wrong Door policy allows Medi-Cal members to receive mental health services from any provider without interruption, even if they need to be transferred between delivery systems. The policy ensures coordinated, non-duplicative mental health care and allows members to maintain existing therapeutic relationships while adding services from other systems when medically necessary.
Action Required
Immediately: Billing team must ensure mental health services are billed appropriately when members receive coordinated care across multiple delivery systems. Update workflows to coordinate with county mental health plans for concurrent services to avoid duplicate billing. Verify reimbursement processes are in place for assessment and treatment services provided before formal diagnosis or service determination.