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MedicaidCoverageHigh impact

25-1074 Updated Guidance: Federal Restrictions on Medi-Cal Payments to Prohibited Entities

Health Net·CA · OB-GYN, Family Medicine·Prior Authorization
Effective date
Sep 11, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Federal restrictions now prohibit Medi-Cal payments to certain family planning providers for non-abortion services as of September 11, 2025, following court injunction stays. Providers classified as Prohibited Entities can only submit claims for abortion services using specific CPT codes, while non-abortion service claims must not be submitted.

Action Required

Action needed
Immediately: Billing teams must identify if their practice qualifies as a Prohibited Entity (501c3 nonprofit, primarily family planning/reproductive health, provides abortion services except rape/incest/life-threatening, received >$800K Medicaid in FY2023). If yes, stop submitting all Medi-Cal claims for non-abortion services rendered on/after September 11, 2025. Only submit abortion-related claims using CPT codes 59840, 59841, 59850-59852, 59855-59857, S0190, S0191, S0199. Hold claims for non-abortion services from July 4-September 10, 2025 unless preliminary injunction relief was obtained. Failure to comply will result in claim denials and payment restrictions.

Affected Billing Codes

59840
59841
59850
59851
59852
59855
59856
59857
S0190
S0191
S0199