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Medicare AdvantageAdministrativeLow impact

22-180 Help Members with Kidney Disease Have Better Health Outcomes

Health Net·CA · Nephrology·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net and Wellcare By Health Net have partnered with Somatus, Inc. to launch an integrated Kidney Care Coordination Program for members with chronic kidney disease (CKD) or end-stage renal disease (ESRD). This opt-in care management program will begin in 2022 and expand throughout the year, affecting specific Medi-Cal counties and other lines of business.

Action Required

Action needed
Monitor for upcoming communications from Somatus, Inc. regarding program details and go-live dates. No immediate billing changes required as this is a care coordination program preview. Contact appropriate Health Net Provider Services Center within 60 days if questions arise about the program.