MedicaidAdministrativeMedium impact
22-734m Help Patients Fill Out Health Care Options Forms With the Correct NPI
Health Net·CA·Provider News
We identified it
Jun 20, 2026
Summary
Health Net requires providers to assist Medi-Cal patients in entering the correct NPI number on Health Care Options (HCO) forms when transitioning from fee-for-service to managed care plans. Providers must ensure their demographic information is current to avoid being listed as 'not accepting new patients' which prevents patient assignment.
Action Required
Immediately: Front desk staff must assist Medi-Cal patients in entering provider NPI numbers in the 'Doctor/Clinic Code' field on HCO forms when patients transition from fee-for-service to managed care. Providers should verify their demographic information is current by contacting their PPG or updating through Health Net's Provider Demographics Update Form to ensure they show as accepting new patients.