MedicaidAdministrativeMedium impact
20-693 Submit Contract Status Validation for Hospital Directed Payment Programs
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net Medi-Cal requires hospitals and capitated providers in specified California counties to validate contract status for Hospital Directed Payment Programs by completing files with specific contract status codes and returning them by strict deadlines.
Action Required
By December 28, 2020: Hospitals must complete contract status validation files received from Health Net or DHCS using codes C (Contracted), H (Hospital to hospital), or N (Not contracted). Use proper file naming convention and email completed files to both Dianna.Bailey@Centene.com and HNCA_DirectPay@HealthNet.com. Files received after deadline will not be included in first pass submission to DHCS.