MedicaidAdministrativeMedium impact
22-511m Use the New Invoice Claim Form to Reduce Errors and Improve Accuracy
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Provider News
Effective date
Jun 30, 2022
We identified it
Jun 20, 2026
Summary
HealthNet California has introduced a new invoice claim form specifically for Enhanced Care Management (ECM) and Community Supports services in Medi-Cal. Providers must use this new PDF form to submit claims for these services to reduce errors and improve accuracy.
Action Required
Immediately: Billing team must download and begin using the new invoice claim form (PDF) for all Enhanced Care Management (ECM) and Community Supports services claims. Update billing workflows to ensure staff use the correct form for Medi-Cal patients in Fresno, Kings, and Madera counties. Failure to use the new form may result in claim errors and processing delays.