Back to dashboard
MedicaidAdministrativeMedium impact

25-1037 Provider Communications Posted Online and Operations Manual Updates for September 2025

Health Net·CA · Family Medicine, Internal Medicine, OB-GYN +1 more·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Health Net has published September 2025 policy updates including new PCP transfer restrictions between Health Net and Molina (no retroactive transfers, effective first day of following month), a $75 incentive for early pregnancy confirmation ending December 31, 2025, and simplified Community Health Worker services (written recommendations no longer required).

Action Required

Action needed
By December 31, 2025: Submit documentation for $75 early pregnancy confirmation incentive for qualifying Medi-Cal patients. Update billing staff on new PCP transfer restrictions - transfers between Health Net and Molina are effective first day of following month only, no retroactive transfers allowed. For Community Health Worker services, written recommendations are no longer required per revised DHCS guidance.

Related policy hubs