MedicaidAdministrativeMedium impact
25-1365m New HIV Test Result Disclosure Rules for Medi-Cal Providers
Health Net·CA · Family Medicine, Internal Medicine, Infectious Disease +1 more·Prior Authorization
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Starting January 1, 2026, California providers can share HIV test results for Medi-Cal patients with their assigned Managed Care Plans and external quality review organizations without written patient authorization. This supports care coordination and quality improvement programs.
Action Required
Before January 1, 2026: Review and update HIV test result disclosure practices to comply with SB 0278. Staff must understand they can now share identifying HIV test results with the patient's assigned Medi-Cal MCP and DHCS-contracted quality review organizations without written authorization. Update privacy policies and staff training materials accordingly. Contact CalViva Health at 888-893-1569 for questions.