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21-638 See What News is Online for August 2021

Health Net·CA·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Health Net published a summary of August 2021 policy communications, highlighting two key updates: a reminder that balance billing members for covered services is prohibited, and new options for virtual medical record reviews and corrective action plan verifications.

Action Required

Action needed
Review balance billing policies to ensure compliance - providers cannot balance bill members for covered services except for non-covered services. For applicable providers with Health Net Medi-Cal or Cal MediConnect, be aware that virtual options are now available for medical record reviews and corrective action plan verifications (attestation required when scheduling audits).

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