Medicare AdvantageAdministrativeMedium impact
22-952 Submit Attestations Online for Chronically Ill Members
Health Net·CA·Provider News
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Effective January 1, 2023, Health Net no longer accepts fax attestations for Special Supplemental Benefits for Chronically Ill (SSBCI) members. Providers must now submit all attestations online through the SSBCI portal and follow a specific workflow including office visits, eligibility evaluation, and claim submission with appropriate diagnosis codes.
Action Required
Immediately: Stop submitting SSBCI attestations via fax. Billing team must register and use the online SSBCI portal at Special Supplemental Benefits for Chronically Ill (SSBCI). Providers must schedule office visits for chronically ill member evaluations, submit attestations online, and file claims with appropriate diagnosis codes for qualifying chronic conditions. Contact Provider Services at 800-929-9224 within 60 days if questions arise about attestation requirements.