MedicaidBilling CodesMedium impact
23-1005sum Summary Update: Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table- 3rd Quarter 2023
Health Net·CA·Pharmacy
Effective date
Nov 14, 2023
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/DOFR Crosswalk Reference Table for Q3 2023, adding 17 new injectable medications, updating 26 procedure codes, and adding 20 new generic drugs. This affects how injectable medications are categorized and billed under the Division of Financial Responsibility matrix.
Action Required
Before November 14, 2023: Billing team must download and review the complete update 23-1005 PDF from the Health Net provider portal to identify which injectable medication HCPCS codes affect your practice. Update billing system crosswalk tables with new injectable medication codes and DOFR categories. Review provider operations manuals in the Provider Library for revised sections. Contact CalViva Health at 888-893-1569 with questions.