Medicare AdvantageAdministrativeMedium impact
23-001 The Cal MediConnect and D-SNP "Look Alike" Transition to D-SNP is Now Complete
Health Net·CA·Provider News
Effective date
Jan 3, 2023
We identified it
Jun 20, 2026
Summary
HealthNet California has completed the transition of Cal MediConnect and D-SNP 'Look Alike' plans to standard D-SNP (Dual Special Needs Plans). This affects how certain Medicare-Medicaid dual eligible members are processed and billed.
Action Required
Immediately: Billing team should verify patient eligibility and plan type for all HealthNet California dual eligible members to ensure claims are submitted under the correct D-SNP plan structure. Update patient insurance information in billing system if members have transitioned from Cal MediConnect to D-SNP. Contact HealthNet's provider services if uncertain about member plan status.