MedicaidAdministrativeHigh impact
26-803m Avoid Denials and Payment Delays: Billing Requirements for Dyadic Services
Health Net·CA · Psychiatry·Reimbursement
Effective date
Jun 30, 2026
We identified it
Jun 30, 2026
Summary
HealthNet California has issued new billing requirements for dyadic (two-person) behavioral health services effective 06/30/26 to reduce claim denials and payment delays. This policy applies to behavioral health providers in Fresno, Kings, and Madera counties under Medi-Cal. The policy document references a downloadable flyer with specific billing guidance, but the actual requirements are not detailed in the provided content excerpt.
Action Required
By 06/30/2026: Behavioral health billing team must obtain and review the complete policy flyer (PDF) from HealthNet's provider library to identify specific billing requirements for dyadic services. Implement all billing code, modifier, or documentation changes required by the policy. Update billing software, encounter forms, and staff training to ensure compliance with dyadic service billing rules. Contact HealthNet at providerlibrary.healthnetcalifornia.com or via provider support for clarification if requirements are unclear. Failure to comply with correct billing for dyadic services will result in claim denials and payment delays.