MedicaidBilling CodesMedium impact
23-1003sum Summary Update: Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table- 2nd Quarter 2023
Health Net·CA · Oncology, Rheumatology, Endocrinology +4 more·Pharmacy
Effective date
Nov 14, 2023
We identified it
Jun 20, 2026
Summary
Health Net California updated their Injectable Medication HCPCS/DOFR Crosswalk Reference Table for Q2 2023, adding 14 new injectable medications, updating 22 medication procedure codes, and adding 11 new generic drugs. These changes affect how injectable medications are categorized and billed under the Division of Financial Responsibility framework.
Action Required
By November 14, 2023: Billing team must download and review the complete update 23-1003 from the Health Net provider portal to identify specific HCPCS code changes for injectable medications. Update billing software and encounter forms with new codes and DOFR category assignments. Contact CalViva Health at 888-893-1569 with questions. Providers without internet access should request print copies from Provider Communications Department.