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Administration of Behavioral Health Services Transition from MHN to Health Net

Attention Medi-Cal Providers Only

The claims address and payer ID for Medi-Cal claims for dates of service on or after September 1, 2024, is:

Health Net Medi-Cal Claims
PO Box 9020
Farmington, MO 63640-9020


Payer ID: 95567

Please refer to communications for more details:

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.

 Frequently Asked Questions

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.

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.

Where do I submit claims, check eligibility, obtain prior authorization, access the provider operations manual, or find other contact information due to the transition?

Refer to the Behavioral Health Contacts table for contact information related to various functions and operations.

How can I avoid delays with claims payments as a result of this transition?

Every payor's claim system has its unique way to managing intake and processing of claims. The same applies to this migration. Accurate billing information and complete claim submissions are crucial to help avoid potential payment delays for services rendered to eligible members. Please ensure that claims submissions comply with Health Net standards published in provider contracts and manuals.

The table below highlights some critical elements that are often incomplete or missing in provider claim submissions.

Table of Critical Elements in Provider Claim Submissions.
Form FieldRequirementsCMS-1500 (Professional)UB-04 (Institutional)Electronic Claims
Billing provider name, address and NPIEnter the name, address, and 10-character NPI ID and taxonomy of the billing entityBox 33Box 1Loop NM109 with XX qualifier
Subscriber (name, address, DOB, sex, and member ID required)Enter the subscriber's Health Plan ID exactly as it appears on the member's current ID card.Subscriber box 1a, 4, 7, 11Box 58 and 602000B and 2010BA
Patient (name, address, DOB, sex, relationship to subscriber, status, and member ID)Enter the member's Health Plan ID exactly as it appears on the member's current ID card.Patient box 2, 3, 5, 6, 8Box 8, 9, 10, 112000C and 2010CA
Attending provider with NPIEnter the 10-character NPI ID and taxonomy for the attending practitioner.N/ABox 76Loop 2300 NM1with DN qualifier
Rendering providerEnter the 10-character NPI ID and taxonomy for the individual practitioner who rendered the service (this can be blank if a sole proprietor and that NPI is entered as the Billing Provider).NPI in Box 24JBox 56Loop 2300 NM1 with 82 qualifier (if differs from billing provider)
Service facility informationEnter the name, address, and 10-character NPI ID and taxonomy where the patient service was delivered (this can be blank only if provider is a sole proprietor).Box 32Box 1Loop 2310C or 2310E NM1 with 77 qualifiers (if differs from billing provider)

You can learn more about how we're improving processes for efficient claims and to resolve claims disruptions in the communications below.

For more information about claim submission, refer to the Behavioral Health Provider Operations Manual (PDF).

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.

Behavioral Health Contacts

Behavioral Health Contacts
Behavioral Health FunctionDescription and/or Contact
Claims submission addresses, payer IDs and claim status check

Note:

For Medi-Cal claims with overlapping dates of service (DOS), providers must split the claim and submit two separate claims.

This does not apply to provider appeals/disputes. Please see Provider disputes for those addresses.
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:
Health Net Provider Portal
Medicare:
Health Net Medicare Claims
P.O. Box 9030
Farmington, MO 63640-9030

Payer ID: 68069

Claim status check:
Health Net Provider Portal
Medi-Cal (includes CalViva Health and Community Health Plan of Imperial Valley):

FOR DATES OF SERVICE ON OR AFTER SEPTEMBER 1, 2024
Health Net Medi-Cal Claims
P.O. Box 9020
Farmington, MO 63640-9020

Payer ID: 95567

FOR DATES OF SERVICE PRIOR TO SEPTEMBER 1, 2024
Health Net Medi-Cal Claims
P.O. Box 14621
Lexington, KY 40512-4621

Payer ID: 22771

Claim Status check:
Phone: 800-444-4281
Claims inquiries or questionsBehavioral Health Provider Services
Phone: 844-966-0298
Contract renegotiationSend a request via email to DNBHC@healthnet.com
Credentialing questionsHealth Net Credentialing Department

Email (for facilities):
HN_FacilitiesCredentialing@healthnet.com
Email (for practitioners):
HNCredentialing_Practitioner_CA@Centene.com
Eligibility and benefit checksHealth Net Provider Portal
Prior authorizationAuthorized by Health Net
Phone: 844-966-0298
Provider disputes

Note: Submit using the Behavioral Health Provider Appeal/Dispute Form (PDF).
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/Dispute
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 ManualBehavioral Health Provider Operations Manual (PDF)
Request to add or remove sites or practitioners from practice, roster updatesHealth Net Provider Data Management Team
Email: ProviderData@healthnet.com

Include "Behavioral Health and PPG Name (if applicable)" in email subject line.
Technical portal support and group administrator requestsHealth Net Technical Support Team
Phone: 866-458-1047
Update demographic information, Tax ID number, National Provider Identifier, group name, or data that are in the provider directoryHealth Net Provider Data Management Team
Email: ProviderData@healthnet.com

Demographic Update Forms Online

Include "Behavioral Health and PPG Name (if applicable)" in email subject line.

Training & Webinars

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.

  1. Go to Health Net Medi-Cal New Provider Resources or CalViva Health Medi-Cal New Provider Resources or Community Health Plan of Imperial Valley Medi-Cal New Provider Resources.
  2. Complete the appropriate training:
  3. Sign and return the appropriate form 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.

Communications

Last Updated: 09/04/2024