Language Assistance

Get helpful language services at no cost to you! (non-Medicare)
(Adobe PDF)




Health Net logo

Health Net Rolls Out $5.9 Million in COVID-19 Assistance for Those Serving Medi-Cal Members

Health Net Rolls Out $5.9 Million in COVID-19 Assistance for Those Serving Medi-Cal Members

Thursday, April 2, 2020

Grants to Medi-Cal providers, Federally Qualified Health Centers, Rural Health Centers and others will expand telehealth services, benefiting the state's most vulnerable patient population

APRIL 2, 2020, Los Angeles, CA – Today, Health Net LLC, announced it will provide $5.9 million in immediate assistance to support Medi-Cal providers impacted by the outbreak of the novel coronavirus (COVID-19). Health Net's investment will enable the expansion of telehealth capacity and capability at California safety net clinics, Federally Qualified Health Centers (FQHC), and independent provider practices serving the state's most vulnerable patient population and face increased challenges amid the COVID-19 pandemic.

"Medi-Cal providers have been significantly impacted by the outbreak of COVID-19 across the state," said Brian Ternan, CEO of Health Net. "The ability to interact over the phone or through video not only protects vulnerable patients from face to face interaction, but also ensures that we're keeping our frontline providers safe and healthy during these extraordinary times," he said. "We are grateful for the continued partnership with the state to help protect the delivery system for our most vulnerable population."

Telehealth practices include live video visits, e-consultations and tele-psychiatry, which are all key tools in providing safe access and continuity of care for patients at home. This approach minimizes disruption of the health care system and helps protect providers and patients at a time when social distancing is critical to observe.

Health Net requested to use funding set aside for improving enrollee health outcomes under the California Department of Managed Health Care's (DMHC) approval of Centene's acquisition of Health Net in 2016.

"We are working together to protect the health and safety of Californians and to mitigate the spread of COVID-19," said DMHC Director Shelley Rouillard. "This includes making sure that Californians are able to access health care coverage through telehealth. This funding will help Medi-Cal providers quickly build their telehealth infrastructure, and make sure people can continue to safely access health care services."

Recognizing the urgency of the situation, and the important role health centers play in serving communities across the state Health Net is making this funding for health centers available immediately.

"Our clinics are on the frontlines of the COVID-19 pandemic. Funding provided by Health Net will enable safety net providers to build out and leverage critical telehealth capabilities to better protect and serve our patients throughout the state," says Carmela Castellano-Garcia, President and Chief Executive Officer of the California Primary Care Association. "This situation requires an all-hands-on-deck approach. We're grateful to see plans like Health Net expedite this funding with the support of the Department."

Grant Eligibility Requirements

To be eligible for the COVID-19 Emergency Response Support, the applicant must apply by April 7, and be organized as one of the following:
  • Federally Qualified Health Center, Rural Health Center, Indian Health Center, 330 Look Alike Health Center, or community clinic
  • Independent Provider Practice with at least a 30% Medi-Cal patient mix and/or located in a Health Professional Shortage Area
  • Safety Net Clinics and FQHCs operating in non-County Organized Health System (COHS) are eligible to apply

For a full list of eligibility requirements please visit http://healthnet.smartsimple.com

Grant Funding Scope

In response to COVID-19, Telehealth is now a service requirement, as such, many Medi-Cal providers may need assistance to meet this requirement. Grants under this program will be directed towards those providers who have limited and/or no telehealth infrastructure. Health Net expects to award approximately 47 grants, with a maximum grant amount of $125,000 per award Grant money may be used to cover the following:

Telehealth and Telephonic Infrastructure

  • Hardware, such as laptops, land lines and cell phones
  • Software
  • Licensing and vendor fees for telehealth programs and/or apps

Staffing and Internet Services

  • Training
  • Technical Assistance
  • Internet connectivity and/or browser set up
  • Monthly service or coverage fees

Tele-psychiatry Infrastructure and Services

To increase prevention and intervention efforts for patients with mental health and/or substance use conditions
  • Tele-psychiatry capability and capacity to sustain and/or expand access
  • Support training and/or team-based mental health modalities

Media Contacts

Health Net, LLC and
Health Net of California, Inc.
MediaInquiries@HealthNet.com

Health Net Federal Services, LLC
MediaInquiriesHNFS@HealthNet.com

Arizona Complete Health
Monica Coury
Monica.H.Coury
@AZCompleteHealth.com

Health Net
Health Plan of Oregon, Inc.
Karen Riley Sawyer
Karen.R.Sawyer@TrilliumCHP.com

Log In:
Select Your Account Type

I'm a Member

I'm a Provider

I'm a Broker

I'm an Employer

Log In:
Members

Individual & Family Plan member

CA: Log in at myhealthnetca.com

OR: Log in at healthnet.com

AZ: Log in at ambetterhealth.com

Medicare Advantage member

Log in at membersecurelogin.com

Employer Group Plan member

Log in at healthnet.com

All other plan members

Log in at healthnet.com

Log In:
Members

Please enter your user name.

Forgot your user name?

Forgot your password?

Don't have a Health Net user name and password?
Register now

Log In:
Brokers

Please enter your user name.

Forgot your user name?

Forgot your password?

Don't have a Health Net user name and password?
Register now

Log In:
Employers

Login

Please enter your user name.

Forgot your user name?

Forgot your password?

Don't have a Health Net user name and password?
Register now

Log In:
Providers

Member information is available on provider.healthnetarizona.com.

Already have an account?
Log in now

(your username is your email address)

Note: HNA providers can log in by using their existing HNA user name (your email address) and password to access Allwell and Ambetter member information.

Need to create a new account?
Register now

Log In:
Providers

Member information is available on provider.healthnetcalifornia.com.

Already have an account?
Log in now

(your username is your email address)

Need to create a new account?
Register now

Log In:
Providers

Member information is available on provider.healthnetoregon.com.

Already have an account?
Log in now

(your username is your email address)

Need to create a new account?
Register now

Log In:
Providers

Please enter your user name.

Forgot your user name?

Forgot your password?

Don't have a Health Net user name and password?
Register now

Log In:
Providers

Please enter your user name.

Forgot your user name?

Forgot your password?

Don't have a Health Net user name and password?
Register now

Log In:
Providers

Please enter your user name.

Forgot your user name?

Forgot your password?

Don't have a Health Net user name and password?
Register now

Disclaimer

You are now leaving Health Net's website for Medicare.gov. While Health Net believes you may find value in reading the contents of this site, Health Net does not endorse, control or take responsibility for this organization, its views or the accuracy of the information contained on the destination server.

To proceed to Medicare.gov, click 'Continue'. To stay on the Health Net website, click 'Cancel'.

If you would prefer to speak to a Health Net representative about this issue, please click here to go to our Customer Service Center page.


Cancel Continue

Important Notice

General Purpose
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. The Policies are based upon a review of the available clinical information including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the drug or device, evidence-based guidelines of governmental bodies, and evidence-based guidelines and positions of select national health professional organizations. Coverage determinations are made on a case-by-case basis and are subject to all of the terms, conditions, limitations, and exclusions of the Member's contract, including medical necessity requirements. Health Net may use the Policies to determine whether, under the facts and circumstances of a particular case, the proposed procedure, drug, service, or supply is medically necessary. The conclusion that a procedure, drug, service, or supply is medically necessary does not constitute coverage. The Member's contract defines which procedure, drug, service, or supply is covered, excluded, limited, or subject to dollar caps. The policy provides for clearly written, reasonable and current criteria that have been approved by Health Net's National Medical Advisory Council (MAC). The clinical criteria and medical policies provide guidelines for determining the medical necessity criteria for specific procedures, equipment and services. In order to be eligible, all services must be medically necessary and otherwise defined in the Member's benefits contract as described in this "Important Notice" disclaimer. In all cases, final benefit determinations are based on the applicable contract language. To the extent there are any conflicts between medical policy guidelines and applicable contract language, the contract language prevails. Medical policy is not intended to override the policy that defines the Member's benefits, nor is it intended to dictate to providers how to practice medicine.


Policy Effective Date and Defined Terms.
The date of posting is not the effective date of the Policy. The Policy is effective as of the date determined by Health Net. All policies are subject to applicable legal and regulatory mandates and requirements for prior notification. If there is a discrepancy between the policy effective date and legal mandates and regulatory requirements, the requirements of law and regulation shall govern. In some states, prior notice or posting on the website is required before a policy is deemed effective. For information regarding the effective dates of Policies, contact your provider representative. The Policies do not include definitions. All terms are defined by Health Net. For information regarding the definitions of terms used in the Policies, contact your provider representative.


Policy Amendment without Notice.
Health Net reserves the right to amend the Policies without notice to providers or Members. In some states, prior notice or website posting is required before an amendment is deemed effective.


No Medical Advice.
The Policies do not constitute medical advice. Health Net does not provide or recommend treatment to Members. Members should consult with their treating physician in connection with diagnosis and treatment decisions.


No Authorization or Guarantee of Coverage.
The Policies do not constitute authorization or guarantee of coverage of any particular procedure, drug, service, or supply. Members and providers should refer to the Member contract to determine if exclusions, limitations and dollar caps apply to a particular procedure, drug, service, or supply.


Policy Limitation: Member's Contract Controls Coverage Determinations.
Statutory Notice to Members: The materials provided to you are guidelines used by this plan to authorize, modify or deny care for persons with similar illnesses or conditions. Specific care and treatment may vary depending on individual need and the benefits covered under your contract. The determination of coverage for a particular procedure, drug, service, or supply is not based upon the Policies, but rather is subject to the facts of the individual clinical case, terms and conditions of the Member's contract, and requirements of applicable laws and regulations. The contract language contains specific terms and conditions, including pre-existing conditions, limitations, exclusions, benefit maximums, eligibility, and other relevant terms and conditions of coverage. In the event the Member's contract (also known as the benefit contract, coverage document, or evidence of coverage) conflicts with the Policies, the Member's contract shall govern. The Policies do not replace or amend the Member contract.


Policy Limitation: Legal and Regulatory Mandates and Requirements
The determinations of coverage for a particular procedure, drug, service, or supply is subject to applicable legal and regulatory mandates and requirements. If there is a discrepancy between the Policies and legal mandates and regulatory requirements, the requirements of law and regulation shall govern.


Reconstructive Surgery
California Health and Safety Code 1367.63 requires health care service plans to cover reconstructive surgery. "Reconstructive surgery" means surgery performed to correct or repair abnormal structures of the body caused by congenital defects, developmental abnormalities, trauma, infection, tumors, or disease to do either of the following:


1. To improve function; or
2. To create a normal appearance, to the extent possible.


Reconstructive surgery does not mean "cosmetic surgery," which is surgery performed to alter or reshape normal structures of the body in order to improve appearance.


Requests for reconstructive surgery may be denied, if the proposed procedure offers only a minimal improvement in the appearance of the enrollee, in accordance with the standard of care as practiced by physicians specializing in reconstructive surgery.


Reconstructive Surgery after Mastectomy
California Health and Safety Code 1367.6 requires treatment for breast cancer to cover prosthetic devices or reconstructive surgery to restore and achieve symmetry for the patient incident to a mastectomy. Coverage for prosthetic devices and reconstructive surgery shall be subject to the copayment, or deductible and coinsurance conditions, that are applicable to the mastectomy and all other terms and conditions applicable to other benefits. "Mastectomy" means the removal of all or part of the breast for medically necessary reasons, as determined by a licensed physician and surgeon.


Policy Limitations: Medicare and Medicaid
Policies specifically developed to assist Health Net in administering Medicare or Medicaid plan benefits and determining coverage for a particular procedure, drug, service, or supply for Medicare or Medicaid Members shall not be construed to apply to any other Health Net plans and Members. The Policies shall not be interpreted to limit the benefits afforded Medicare and Medicaid Members by law and regulation.

Continue

You are now leaving HealthNet.com