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MedicaidAdministrativeMedium impact

23-486 Ensure Patient's Health Information Forms (HIF) are Submitted to the Correct Address

Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Provider News
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net California requires providers to submit completed Health Information Forms (HIF) for newly enrolled members to a new mailing address. The new address is Medical Management Notifications, P.O. BOX 2010, Farmington, MO 63640-9706.

Action Required

Action needed
Immediately: Update all documentation and workflow processes to use the new HIF submission address: Medical Management Notifications, P.O. BOX 2010, Farmington, MO 63640-9706. Train staff on the new address for mailing completed Health Information Forms. Continue to conduct Initial Health Appointments within 90 days of member assignment and submit positive screening results within 90 days.