Medi Cal Reimbursement Guidelines

Thanks for providing the details. In California, under Medi-Cal managed care plans like HealthNet:
- Emergency services should be covered without needing prior authorization.
- If a provider refuses reimbursement, HealthNet should follow its handbook, potentially covering the cost.
- The contractual obligations in the handbook typically prevail, unless a specific law overrides them.
If you're facing reimbursement issues, it might be helpful to contact HealthNet directly for clarification and assistance. Do you need any further information on this?

I'm here to help you with your concerns. It sounds like you're dealing with a reimbursement issue with HealthNet under Medi-Cal managed care. To better assist you, could you let me know what specific part of the information you're unsure about or disagree with?