Medicare AdvantageAdministrativeMedium impact
23-003 The Cal MediConnect Transition to D-SNP is Now Complete
Health Net·CA·Provider News
Effective date
Jan 3, 2023
We identified it
Jun 20, 2026
Summary
The Cal MediConnect program has completed its transition to Dual-Eligible Special Needs Plans (D-SNP). HealthNet California is providing additional Q&A sessions and resources to help providers adapt to this change in how dual-eligible Medicare-Medicaid beneficiaries receive coverage.
Action Required
Immediately: Billing team should download the transition flyer from HealthNet's provider library and attend available Q&A office hour sessions to understand D-SNP billing requirements. Update patient eligibility verification processes to correctly identify Cal MediConnect members who have transitioned to D-SNP plans. Review and update billing workflows for dual-eligible patients.