MedicaidAdministrativeHigh impact
20-202 Submit Data by May 15, 2020, for Supplemental Payment
Health Net·CA·Prior Authorization
Effective date
May 15, 2020
We identified it
Jun 20, 2026
Summary
Health Net requires hospitals in specific California counties to reconcile and submit missing Medi-Cal claims and encounters data by May 15, 2020, for supplemental payment programs. Hospitals must review provided Excel files and resubmit any corrected or missing data through standard claims processing.
Action Required
By May 15, 2020: Hospital billing teams must review Excel reconciliation files sent by Health Net via secure email, identify missing fee-for-service claims not included in the files, and resubmit any corrected or missing claims/encounters through standard claims processing. Contact capitated provider groups immediately to ensure they submit missing encounters to Health Net before the deadline. Return completed Excel file to Health Net by May 15, 2020. Claims received after this date may not meet the DHCS June 30, 2020 deadline, potentially affecting supplemental payment eligibility.