MedicaidAdministrativeMedium impact
22-735m Help Patients Fill Out Health Care Options Forms With the Correct NPI
Health Net·CA·Provider News
We identified it
Jun 20, 2026
Summary
Healthcare providers in Fresno, Kings, and Madera counties must include their National Provider Identifier (NPI) when helping Medi-Cal patients fill out Health Care Options forms to ensure proper provider assignment when transitioning from fee-for-service to managed care. Providers should also update their information if showing as 'not accepting new patients' to avoid auto-assignment issues.
Action Required
Immediately: Front desk staff must assist Medi-Cal patients in capturing the provider's NPI number under the 'Doctor/Clinic Code' field on Health Care Options forms. Providers should verify their information is current by contacting their PPG or using Health Net's Provider Demographics Update Form online. Failure to include correct NPI may result in patients being auto-assigned to different providers.