![]() ![]() ![]() Health Net's National Medical Policies (the "Policies") are developed to assist Health Net in administering plan benefits and determining whether a particular procedure, drug, service, or supply is medically necessary. July 2012 – Dual Eligible Demonstration FAQs.July 2013 – Dual Eligible Demonstration FAQs.Providers who would like information regarding participating in Health Net's network can contact Health Net's Provider Network Management Department by telephone at (818) 543-9178. The information links on this page are designed to help nonparticipating providers and their staff become familiar with the Dual Eligible Demonstration and Health Net's Dual Eligible program. The key component of Health Net's Dual Eligible program is to promote better care and improve alignment and coordination of MA and Medi-Cal benefits. Health Net's Dual Eligible program goal is to improve the quality of care its Medicare Advantage (MA) and Medi-Cal managed care members receive by providing access to seamless, integrated care. Health Net is participating in Cal MediConnect in Los Angeles and San Diego counties. Enrollment in the Duals Demonstration, now known as Cal MediConnect, begins no sooner than January 1, 2014. The Department of Health Care Services (DHCS), in conjunction with the Centers for Medicare and Medicaid Services (CMS), is launching a three-year demonstration to enroll beneficiaries who are covered by both Medicare and Medi-Cal (dual eligibles) into managed care health plans. Information for Nonparticipating Providers ![]()
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