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Workforce and Quality Incentive Program Payment Process
How payments will be processed
Payments for Skilled Nursing Facility (SNF) Workforce and Quality Incentive Program (WQIP)-eligible Network Providers for qualifying bed days within 45 calendar days of receiving the Per Diem Exhibits from DHCS or within 30 calendar days of receiving a Clean Claim from the provider, whichever is later. Health Net will process payments through its Accounts Payable function to issue payments to the Provider by checks or ACH payments.
How to determine responsible payer
SNF WQIP-eligible Network Providers with questions around how to determine the responsible payer of WQIP-eligible days can reach out to the Health Net LTSS Liaison contact.
- LTSS Liaison Contact
Edward Mariscal – WQIP Point of Contact
Director, Population Health
Email: Ltss_liaison@healthnet.com
Phone: 909-293-6974
Upcoming SNF WQIP Webinars
Topic: Skilled Nursing Facility (SNF) Workforce & Quality Incentive Program – Partnership with Health Net
Webinar #1: Tuesday, May 13, 2025, 2:00 – 3:00 p.m.
Register for Webinar 1
Webinar #2: Tuesday, October 21, 2025, 2:00 – 3:00 p.m.
Register for Webinar 2
| How to file a Provider Grievance |
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| Detailed instructions on filing a provider grievance: Provider Grievances Process Note: Provider grievances may be submitted orally or in writing within 180 days of the date of occurrence. |
Hospital Notification Unit
| LINES OF BUSINESS | PHONE NUMBER |
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Fax: 800-676-7969 |
Public Health Care Managed Locally
Community Health Plan of Imperial Valley serves Imperial County and contracts with Health Net to build a robust network of healthcare providers. The collaboration between Community Health Plan of Imperial Valley and Health Net ensures our members receive quality healthcare from a wide range of professionals and facilities. Our commitment is to provide exceptional health care that meets the high standards our members deserve.
Submit a Claim
Provider claims for Community Health Plan of Imperial Valley should be submitted to:
Health Net Community Solutions, Inc.
Medi-Cal Claims
P.O. Box 9020
Farmington, MO 63640-9020
1-833-236-4141
If you are a medical professional and have a question regarding the Medi-Cal Program, please call our Provider Services line at 833-236-4141.
Medical Director – 818-676-5503 (Hours: 24/7)
To access your provider portal, please login at provider.healthnet.com
To access the provider manual, please click here.
Community Supports Information:
Short Descriptions of the CS services and Eligible Populations for each CS service
For Non-Participating Providers: We understand that our members may elect to visit providers that are not part of Community Health Plan of Imperial Valley’s provider network. If you are not in-network, you’ll still need to know how to file claims and understand any policies and procedures that may affect you and your Community Health Plan of Imperial Valley member patients. Please visit this website for helpful documents and information on how to join our network.
For New Providers: The guide is a summary of the Plan’s Medi-Cal provider operations manual and contains essential components of the Medi-Cal plan, including basic information about the public health programs available to Medi-Cal members. The guide supplements the comprehensive operational information in the complete manuals that are available in the 2024 Provider Manual
Please visit this website for more information: Community Health Plan of Imperial Valley Medi-Cal New Provider Resources.
Contact Information
Medical Director – Health Net Community Solutions
818-676-5503
medical.director@healthnet.com