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10/04/2024: Brand New Day Consolidation into Central Health Medicare Plan
On January 1st, 2025 members who are currently Brand New Day will automatically change over to a Central Health Medicare Plan. We are sure you have many questions.
Please click the link below to access the Frequently Asked Questions.
BND Brand Transition_Provider FAQs Part II
 
04/29/2024: New Claim/Encounter button submission Feature
Providers can submit their Claims or Encounter data via the Claim/Encounter button new feature of our Portal.
 
Annual Health Assessment Submission Feature
Providers can submit their members Initial and Annual Health Assessments for their Medicare and Commercial Members with the new button submission feature.
 
HEDIS GAPS Download Feature
Click on the HEDIS GAPS button and download all your member's HEDIS GAPS and get specifics how to close the Gaps in Care. Get access to the latest HEDIS Reference Guides and Coding.
 
Molina Renewal Medi-Cal Flyer
04/11/2023: Medi-Cal Redetermination.
During the COVID-19 Public Health Emergency, the federal government paused Medicaid eligibility verifications. This process is known as redetermination. Roughly 13 million Medi-Cal members stayed enrolled during this time without re-certifying their eligibility. Now, the state of California is resuming this requirement, starting April 1, 2023.
Please talk with your Medi-Cal patients about taking the steps below:
  • Update their contact information – Make sure their mailing address, phone number and email address are current.
    • Los Angeles County members can update their information by calling the Los Angeles County Department of Public Social Services at 1-866-613-3777 (TTY) 1-800-660-4026, or by going to benefitscal.com or visit KeepMediCalCoverage.org for more information and to sign up for text or email updates on Medi-Cal renewals.
    • Orange County members can update their information by calling the County of Orange Social Services Agency at 1-800-281-9799 or by going to MyBenefitsCalWIN.org
  • Sign up for updates – Create or check their online account to get general updates about Medi-Cal renewals through email and text messages.
  • Check their mailbox – Look out for a letter from the local county office about their Medi-Cal coverage. If they get a renewal form, fill it out and return it right away by mail, phone, in person or online.
Below are links to the CalOptima (English, Spanish, and Vietnamese) and Health Net (currently English only) member facing Flyers regarding Redetermination.
  • CalOptima Redetermination-English
  • CalOptima Redetermination-Spanish
  • CalOptima Redetermination-Vietnamese
  • Health Net Redetermination for Provider
  • Health Net Redetermination for Member
  • LA Care Redetermination for Providder
  • Molina Redetermination - English
  • Molina Redetermination - Spanish
 
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