Provider Digest | Volume 54
Date: 10/20/22
New Health Net Commercial Provider Portal Launches 10/26/22!
Your new Health Net Commercial Provider Portal is launching 10/26/22! The new portal has enhanced functionality and timesaving features to help you manage your patients’ health efficiently and effectively.
When you log in to the new Health Net Commercial Provider Portal, you’ll find resources and self-service tools right at your fingertips:
- Simplified views of various screens, options and functions.
- Easy-to-follow registration process with a progress indicator.
- Quick access to member eligibility check and overview of recent claims activity.
- Authorization submission for inpatient and outpatient with multiple functions, such as filtering and obtaining additional details when needed.
- Claims views.
If you already use the Trillium Medicaid and/or Wellcare Provider Portals, you’ll find your Health Net Commercial Portal in the same place. Now you have one secure post-login location to access and manage all your patient Information!
If you work with Health Net Commercial patients only:
Visit www.healthnetoregon.com/login.html or
Use your OneHealthPort login to access the portal or register for the Health Net Commercial Provider Portal.
If you would like training on the new portal or have any questions, please reach out to your Provider Relations Representative. We’re here to help!
Thank you for your partnership in helping our members stay healthy.
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Partners in Diversity and Portland State University: Say Hey! Networking Event
Partners in Diversity and Portland State University are hosting the "Say Hey!" multi-cultural networking event. This event welcomes professionals of color who recently relocated to Oregon or southwest Washington and helps them get connected with our diverse communities. Enjoy an evening of food, networking and prizes.
- 11/2/22
- 5:30-8:00 p.m.
- Portland State University, Smith Memorial Student Union Ballroom
- Register here
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Trillium Medicaid: Additional Preferred Options for Gender-Affirming Hormonal Therapy
This year Trillium Medicaid has worked hard to listen to providers and members to ensure that we are providing appropriate and accessible gender-affirming hormonal therapy options for our members. Earlier this year Trillium removed the prior authorization requirement on generic testosterone gel and generic estradiol patches for members 17 years of age and older and as of September 1, 2022 estradiol valerate intramuscular oil has been added to the list of preferred agents. See the table below for a comprehensive list of the current preferred gender-affirming hormonal therapy options.
Preferred Gender-Affirming Hormonal Therapies
| Drug Name and Formulation | Strength | Applicable Quantity Limits |
|---|---|---|
| Estradiol Tablets | 0.5mg; 1mg; 2mg | None |
| Estradiol TD Biweekly Patch | 0.025mg/24HR; 0.05mg/24HR; 0.0375mg/24HR; 0.075mg/24HR; 0.1mg/24HR | 8 patches/28 days |
Estradiol TD Weekly Patch
| 0.025mg/24HR; 0.0375mg/24HR; 0.05mg/24HR; 0.06mg/24HR; 0.075mg/24HR, 0.1mg/24HR | 4 patches/28 days |
| Estradiol Valerate Intramuscular Oil | 20mg/ml; 40mg/ml | None |
| Testosterone Cypionate Intramuscular Oil | 100mg/ml; 200mg/ml | None |
| Testosterone Enanthate Intramuscular Oil | 200mg/ml | None |
Testosterone TD Gel | 1%; 1.62%; 2% | 1%: 300gm/30 days: 1.62%: 150gm/30 days; 2%: 120gm/30 days |
All gender-affirming hormonal therapy options have an age limit of at least 17 years old. Coverage for members less than 17 years old or for amounts exceeding applicable quantity limits require prior authorization.
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Standards of Care for Transgender and Gender Diverse People
The International Journal of Transgender Health has produced a robust resource with information and guidance on "Standards of Care for Transgender and Gender Diverse People." This reference material has 18 chapters containing recommendations for healthcare professionals working with transgender and gender diverse people. Each of the recommendations is followed by explanatory text with relevant references. You can access or download this resource online.
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Register Now: Wellcare Provider Virtual Forum on Transforming the Patient Experience
Join us for "Transforming the Patient Experience," a free Wellcare provider virtual forum and lunch with a special guest speaker from Press Ganey. In this interactive workshop, participants will engage in a collaborative discussion on the member experience and challenges faced with delivery of patient-centric care. Topics include:
- Improving communication with patients and developing rapport and trust among provider, patient, and health plan
- How CAHPS survey questions relate to everyday practice
- HEDIS and CAHPS connections in care gaps
- Current barriers in access to care for providers and patients
You can choose to attend one or more of the following sessions:
- 11/8/22, 9:00 a.m.
- 11/9/22, 10:00 a.m.
- 11/20/22, 12:00 p.m.
- Gift card for lunch provided
- Register here