Provider Newsroom

Latest Updates:

Take a moment to read the latest articles and reminders:

• ICD-10 FAQs (PDF)
• Cal MediConnect Program Overview (PDF)
• Health Net and MHN Provider Orientation (PDF)
• MHN Chart Audit Communication (PDF)

Reminders:

• MHN's Language Assistance Program (PDF)
• Contacting MHN - Interactive Voice Response (IVR) Enhancements (PDF)
• Patients with SMI Need Medical and Dental Check Ups (PDF)

Practitioner Newsletters:

• Practitioner Newsletter September 2020 (PDF)
• Practitioner Newsletter May 2020 (PDF)
• Practitioner Newsletter February 2020 (PDF)
• Practitioner Newsletter September 2019 (PDF)

Quality Improvement Documents:

• 2019 Quality Improvement Year End Performance Indicator Report (PDF)
• 2019 Quality Improvement Workplan Evaluation (PDF)
• 2020 Quality Improvement Workplan (PDF)
• 2019 California Provider Appointment Availability Survey Results (PDF)
• Best Practices for Patient Follow Up After Psychiatric Hospitalization (PDF)
• Treating Behavioral Health Conditions in PCP Settings Provider Toolkit (PDF)
• Provider Training and Education Course Catalog (PDF)

Provider Tips:

• Tips for Getting Your Claims Paid! (PDF)
• EDI Claims Submission (PDF)
• Self Service Portal Enhancements

Articles:

• Important Reminder for California Practitioners (PDF)
• Coordination of Care: Just Ask (PDF)
• Introducing a New Approach to Provider Services (PDF)
• Keeping CAQH Current (PDF)
• Consider Becoming a Military and Family Life Counselor! (PDF)

Please contact MHN's Professional Relations Department at MHN.ProviderServices@healthnet.com if you are opening or closing an office site where you see MHN members or to let us know if you will be unavailable to take MHN referrals for any period of time. We can then record this in our referral system. Keeping us informed in this way helps us offer the best possible service to our members - your clients.

Claims must be submitted within 120 days of the date of service. If you are billing for a block of sessions at one time, you must submit your billing form within 120 days of all dates of service included on that form. Claims received later than 120 days will be denied, and you may not balance bill the member for claims denied by MHN due to late submission.

MHN will routinely require clinical information for the following CPT codes:

• 90870 Electroconvulsive Therapy, Single
• 90871 ECT- Multiple Seizures
• 96118-96121 Neuropsychological Testing
• 96101-96103 Psychological Testing

Please call MHN's Fraud and Abuse hotline at (800) 327-0566 if you suspect any fraudulent activities in connection with obtaining and/or payment of MHN benefits.