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20-613 Sleep Apnea as a Risk Factor for Your Patients

Health Net·CA · Family Medicine, Internal Medicine, General Practice +4 more·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net has issued guidance on screening and treating sleep apnea as a risk factor, emphasizing that providers should use standardized screening tools like STOP-Bang questionnaire during routine exams for patients with risk factors including obesity, diabetes, hypertension, and cardiovascular conditions. This is primarily educational guidance rather than a billing policy change.

Action Required

Action needed
Immediately: Providers should incorporate sleep apnea screening questions during routine health exams for patients with risk factors (obesity, diabetes, hypertension, cardiovascular disease). Consider using STOP-Bang or Berlin Questionnaire screening tools. Document screening results in patient records. Contact Health Net Provider Services if questions arise within 60 days.