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Healthnet.com uses cookies. By continuing to use our site, you agree to our Privacy Policy and Terms of Use . OK If you are impacted by the Change Healthcare outage, please visit our website for further information. Visit Website Find a Provider Contact Us Enter keyword for site search. Search Contrast On Off a a a language English Español العربية (Arabic) հայերեն (Armenian) 中文 (Chinese) हिंदी (Hindi) Hmoob (Hmong) 日本語 (Japanese) ជំនួយផ្នែកភាសា (Khmer) 한국어 (Korean) ພາສາລາວ (Lao) فارسی (Farsi) ਪੰਜਾਬੀ (Punjabi) Русский язык (Russian) Tulong sa Wika (Tagalog) ไทย (Thai) Tiếng Việt (Vietnamese) Members show Members submenu Log In Pharmacy Support Employers Providers Brokers language English Español العربية (Arabic) հայերեն (Armenian) 中文 (Chinese) हिंदी (Hindi) Hmoob (Hmong) 日本語 (Japanese) ជំនួយផ្នែកភាសា (Khmer) 한국어 (Korean) ພາສາລາວ (Lao) فارسی (Farsi) ਪੰਜਾਬੀ (Punjabi) Русский язык (Russian) Tulong sa Wika (Tagalog) ไทย (Thai) Tiếng Việt (Vietnamese) search Go! Members Log In Pharmacy Support Take Charge of your Health Employers Pharmacy Support Providers Claims Brokers Why Choose Health Net? Enroll Now Find a Provider / ProviderSearch Find a Plan Medi-Cal Medicare Individual and Family Plans Small Business Large Employers Health & Wellness Behavioral Health Members Providers Health Net in the Community COVID-19 Resource Center Oregon/Washington Residents If you are impacted by the Change Healthcare outage, please visit our website for further information. Visit Website Welcome Health Net Providers On April 22, 2024, UnitedHealth Group issued a press release , providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact "a substantial proportion of people in America" and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 866-262-5342 regarding any questions. Log In / Register Registration required to access the portal. If you already have access, no action is needed. Log In / Register Medi-Cal for Kids and Teens Required Training Attention: Providers serving children under age 21 must complete the Medi-Cal for Kids and Teens Training by June 30, 2024! As part of APL 23-005 – the training is required to be completed by February 15, 2024. If you have not completed this training, please register to take the training by June 30, 2024. Be sure to include your NPI when you submit the attestation at the end of the webinar. I have completed the training with another Health Plan If you have completed the training with another Health Plan, please: Fill out Other Health Plan Attestation form. Complete form and hit Submit. When completing the attestation form, please enter your full 10-digit NPI number without spaces or dashes. You do not need to send the confirmation to Health Net. Register for training Renewed Agreement with Community Medical Centers On January 1, 2023, Health Net, on behalf of CalViva Health, renewed a long-term agreement with Community Medical Centers. The partnership allows CalViva Health Medi-Cal members to continue to access critical services available from this large hospital system. Patients who have chosen CalViva Health as their Medi-Cal plan continue to have full access to all Community Medical Centers’ facilities. Provider Update 23-483 Health Education Material Order Form Access the order form for Health Net, CalViva Health, and Community Health Plan of Imperial Valley by scanning the provided QR code. Order Health Education Materials COVID-19 Updates Health Net Alerts Behavioral Health Services Transition from MHN to Health Net Effective January 1, 2024, behavioral health services will no longer be administered by MHN and will be transitioned to Health Net of California, Inc. (Health Net). FAQs and Other Resources for Providers 2022 Provider Appointment Availability Survey We are excited to recognize our Survey Champions for achieving consecutive two-year performance goals in both urgent and non-urgent appointment availability. Visit our dedicated page where we proudly display the names of those who excelled in our recent survey. 2022 Survey Champions Want to Work with Us? Non-participating providers Change Healthcare Outage FAQs, Communications and Trainings & Webinars 2024 DHCS Targeted Rate Increase for Select Medi-Cal Services This provider resource page contains details about this change. Get resources National Imaging Associates, Inc. (NIA) Health Net has contracted with National Imaging Associates Inc. (NIA) for radiology benefit management. For Commercial HMO/PPO/EPO/POS/HSP and Ambetter HMO/PPO, prior authorization is required for the following outpatient radiology procedures: CT/CTA/CCTA, MPI, MRI/MRA, MUGA scan and PET scan. To obtain authorization through NIA, visit Rad MD website . Learn more 2024 DHCS Medi-Cal Contract Award Q&As & Resources Q&A & Resources CalAIM Updates for Medi-Cal Providers CalAIM (California Advancing and Innovating Medi-Cal) is a multi-year initiative by DHCS to improve the quality of life and health outcomes of our population by implementing broad delivery system, program and payment reform across the Medi-Cal program. CalAIM Resources D-SNP resources for providers D-SNP resources Provider Quality Improvement Quality Improvement Provider Continuing Education Calendar HEDIS Measures & Billing Codes Resources for you Site of Care Optimization for Therapeutic Infusions (SCOTI) Public Health Advisories & Notices Overview of Health Net’s Delegation Model (PDF) Additional Resources Pharmacy Prior Authorization Guidelines County/City Resources Referral Forms Forms & Brochures Medical Necessity Criteria Medi-Cal Rx Prior Authorization Reinstatement Webinar Medical Policies – Commercial and Medi-Cal Medical Policies – Medicare Medicare Pre-Auth New Provider Welcome Packets Open Negotiation Notice – No Surprises Act Payment Policies Pharmacy Population Needs Assessment Report (PDF) Submit Claims Timely Access to Care Training (PDF) WPATH Training Materials WPATH Training Course Information Cal MediConnect (Medicare-Medicaid Plan) Cal MediConnect Non-Participating Providers Overview Participating Providers Provider Support Working with Health Net FAQs & Knowledge Base Provider Training Calendar Contact Us 2024 CalAIM / ACEs Spring Training Series Webinars available for Adverse Childhood Experiences (ACEs) training and additional areas to support your work with CalAIM and other special populations. These cover the history of ACEs and how ACEs affect lifelong health, Motivational Interviewing, Social Determinants of Health, Cultural Humility and more. Choosing Wisely Health Net is pleased to introduce the Choosing Wisely initiative. The American Board of Internal Medicine (ABIM) Foundation encourages practitioners and patients to "Choose Wisely." This initiative seeks to advance a national dialogue on avoiding unnecessary medical tests, treatments and procedures. Download informational resources for your patients and clinicians to promote shared-decision making at ChoosingWisely.org. Health Net Community Connect Find Social Services in Your Community Find services like food, shelter, job training, legal assistance and more. We are proud to partner with Findhelp, formerly known as Aunt Bertha, to help you find programs and services in your area. Last Updated: 05/08/2024 Health Net in the Community News Center Legal Notices CareersContact Us Behavioral Health Bridging The Divide GRIEVANCE FORM California Correctional Health Care Services (CCHCS) Help Fight Waste, Fraud & Abuse Benefits During a Disaster Using HealthNet.com Important Tax Info - Form 1095-B Nondiscrimination Notice Medi-Cal Nondiscrimination Notice Transparency...