Administration of Behavioral Health Services Transition from MHN to Health Net
Effective January 1, 2024, behavioral health services have transitioned to Health Net of California, Inc. (Health Net) from MHN. Members will not experience any changes to their behavioral health benefits as a result of this change.
As a reminder, as of January 1, 2024, California Health & Wellness Plan members in Amador, Calaveras, Inyo, Mono, and Tuolumne counties transitioned to Health Net Community Solutions, Inc., (Health Net) and members in Imperial County transitioned to Community Health Plan of the Imperial Valley (CHPIV). As a result of this transition, administration of behavioral health services for these members also transitioned to Health Net.
Members who transitioned to Molina will receive behavioral health benefits from Molina’s behavioral health network and will not be managed by Health Net. For detailed information on the 2024 Medi-Cal Department of Health Care Services contract transition in Los Angeles County, refer to the 2024 DHCS Medi-Cal Transition – Health Net and Molina Healthcare membership-sharing Q&As. This resource provides helpful information on member transitions from Health Net to Molina.
The information on this page is intended to serve as a guide for providers impacted by this transition. On this page you will find information, including questions and answers, links to previously distributed provider communications, and provider training and webinars. This page will be updated as new information becomes available.
How does this change in the administration of behavioral health services affect members?
Members will not experience any changes to their behavioral health benefits because of this change. Members have received new member ID cards with updated contact information for behavioral health services as part of the annual member ID re-carding process.
Some members enrolled in IFP Ambetter HMO and PPO plans (Marketplace) will be receiving updated member ID cards in the near future that include corrected payer ID information.
How will you notify members of this change?
Members started receiving notices about this change starting in November 2023.
After January 1, 2024, how do I access online functions to check a member's eligibility or benefits, or check claims status?
You need to have an established account or create a new account with Health Net in order to access certain functions, like member eligibility and benefits checks and claims status, on the secure provider portal.
- If you are an existing Health Net provider and have an account: Log in using your existing Health Net credentials.
- If you are new to Health Net and do not have an existing account: Register here.
- Select Create New Account.
- Follow the prompts until registration is complete.
Who do I contact and/or send information to prior to and after January 1, 2024?
Refer to the Behavioral Health Service Contact Information chart for important information, including phone numbers and addresses, to use prior to and after January 1, 2024.
| Behavioral Health Function | Contact Prior to January 1, 2024 | Contact After January 1, 2024 |
|---|---|---|
| Claims submission addresses, payer IDs and claim status check Note: For claims with overlapping dates of service (DOS), providers must split the claim for end of year services and submit two separate claims. This does not apply to provider appeals/disputes. Please see Provider disputes for those addresses. |
MHN Claims P.O. Box 14621 Lexington, KY 40512-4621 Payer ID: 22771 Claim status check: Phone: 800-444-4281 |
Commercial (Employer Group HMO/POS and PPO): Health Net Commercial Claims P.O. Box 9040 Farmington, MO 63640-9040 Payer ID: 95567 Claim status check: Phone: 800-444-4281 IFP: Health Net Commercial Claims – IFP P.O. Box 9040 Farmington, MO 63640-9040 Payer ID: 68069 Claim status check: provider.healthnetcalifornia.com Medicare: Health Net Medicare Claims P.O. Box 9030 Farmington, MO 63640-9030 Payer ID: 68069 Claim status check: provider.healthnetcalifornia.com Medi-Cal (includes CalViva Health and Community Health Plan of Imperial Valley): Health Net Medi-Cal Claims P.O. Box 14621 Lexington, KY 40512-4621 Payer ID: 22771 Claim status check: Phone: 800-444-4281 |
| Eligibility and benefit checks | Visit MHN website | provider.healthnetcalifornia.com |
| Prior authorization | Authorized by MHN Phone: 888-935-5966 |
Authorized by Health Net Phone: 844-966-0298 |
| Provider disputes Note: Submit using the Behavioral Health Provider Appeal/Dispute Form (PDF) |
Submit to: MHN Provider Appeals/Disputes P.O. Box 989882 West Sacramento, CA 95798-9882 |
Submit to the appropriate address based on the lines of business: Commercial: Health Net Commercial Provider Appeals/Disputes P.O. Box 989882 West Sacramento, CA 95798-9882 IFP: IFP Provider Appeals/Disputes P.O. Box 9040 Farmington, MO 63640-9040 Medicare: Medicare Provider Appeals/Disputes P.O. Box 9030 Farmington, MO 63640-9030 Health Net Medi-Cal, CalViva Health or Community Health Plan of Imperial Valley (address to applicable entity): Health Net Medi-Cal Provider Appeals/Disputes or CalViva Health Provider Appeals/Disputes or Community Health Plan of Imperial Valley Provider Appeals/Disputes P.O. Box 989882 West Sacramento, CA 95798-9882 |
| Provider Operations Manual | Visit MHN website |
|
Who do I contact with questions or for help?
Contact Behavioral Health Provider Services at 844-966-0298 for questions related to member eligibility, benefits and authorizations.
Mandatory training for Medi-Cal providers
Medi-Cal behavioral health providers must complete the Plan’s required Medi-Cal training. The training will help you learn about the Plan’s critical functions, such as providing or referring members for specific services, submitting claims, member grievances, etc.
Follow the steps below to complete the training, and sign and return the training attestation form before you can be included in Health Net’s system of record with an active status date.
- Go to Health Net Medi-Cal New Provider Resources or CalViva Health Medi-Cal New Provider Resources
- Complete the Health Net New Provider Training Guide 2023 (PDF) or CalViva Health New Provider Training Guide 2023 (PDF) training
- Sign and return the Certificate of New Provider Training form – Health Net (PDF) or Certificate of New Provider Training form – CalViva Health (PDF) by email to HN_Provider_Relations@healthnet.com. Staff members cannot sign the form on behalf of a provider and providers cannot waive required trainings.
Each physician in the office must complete the training and separately submit their own attestation form.
On-demand recorded version of the live webinars
View current and recorded webinars and training materials at any time on the Provider Webinar Information and Training Materials page. Provider webinar topics include Model of Care (MOC), Special Needs and Cultural Competency, and more.
2024
- 24-083 – Updated Claim Submission Information and Behavioral Health Services Transition Reminders – Health Net
- 24-084 – Updated Claim Submission Information and Behavioral Health Services Transition Reminders – CalViva Health
- 24-085 – Updated Claim Submission Information and Behavioral Health Services Transition Reminders – Community Health Plan of Imperial Valley
2023
- 23-1397 – Behavioral Health Medi-Cal Provider Welcome Letter – for Behavioral Health Providers – Health Net (PDF)
- 23-1398 – Behavioral Health Medi-Cal Provider Welcome Letter – for Behavioral Health Providers – CalViva Health (PDF)
- 23-1244 – Important Change: Starting January 1, 2024, Behavioral Health Services will Transition from MHN to Health Net – CalViva Health
- 23-1245 – Important Change: Starting January 1, 2024, Behavioral Health Services will Transition from MHN to Health Net
- 23-1246 – Important Change: Starting January 1, 2024, Behavioral Health Services will Transition from MHN to Health Net (2024 Medi-Cal counties – Amador, Calaveras, Imperial, Inyo, Mono, Tuolumne counties)