MedicaidAdministrativeMedium impact
20-317 Disease Management Transitioning from Optum to Health Net Integrated Care Management on March 15, 2020
Health Net·CA·Prior Authorization
Effective date
Mar 15, 2020
We identified it
Jun 20, 2026
Summary
Health Net is transitioning disease management services from Optum to their own Integrated Care Management program effective March 15, 2020. This affects Cal MediConnect Plan members with chronic conditions like diabetes, asthma, CHF, and CAD who will now be managed through Health Net's internal program.
Action Required
By March 15, 2020: Update referral processes for members with chronic conditions (diabetes, asthma, CHF, CAD). Use Health Net Integrated Care Management at 1-888-732-2730 instead of Optum for disease management referrals. Complete Care Management Referral Forms available on provider.healthnet.com and submit via fax or email as indicated.