Medicare AdvantageAdministrativeMedium impact
21-383m Reminder: Send Required Special Needs Discharge Data to Health Net
Health Net·CA·Coding
Effective date
Mar 1, 2021
We identified it
Jun 20, 2026
Summary
Health Net requires hospitals and skilled nursing facilities to proactively send admission/discharge/transfer data for dual-eligible special needs plan members to their Hospital Notification Unit within 24 hours of admission/discharge. This applies to full-risk dual-eligible members and includes specific required data elements like patient demographics, dates, diagnoses using ICD-10 codes, and discharge information.
Action Required
Immediately: Hospital billing teams must proactively send ADT data for dual-eligible special needs plan members to Health Net's Hospital Notification Unit within 24 hours of admission/discharge (or one business day for weekend admissions). Contact HNU at fax 800-676-7969 or phone 800-995-7890. Include all required data elements: patient demographics, MBI, dates, ICD-10 diagnosis codes separated by semicolons, and discharge information. Update workflows to ensure compliance as HNU will contact providers who fail to report timely.