MedicaidAdministrativeMedium impact
25-967m Guidelines and Restrictions for PCP Transfers Between Health Net and Molina
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Provider News
Effective date
Dec 20, 2024
We identified it
Jun 20, 2026
Summary
Health Net and Molina have immediately discontinued retroactive PCP transfers between their networks, with all future transfers now effective only on the first day of the following month. Members cannot transfer while hospitalized, and specific call center procedures have been updated for handling transfer requests between the two Medi-Cal managed care plans.
Action Required
Immediately: Front desk and patient services staff must update member transfer protocols to inform patients that PCP transfers between Health Net and Molina are no longer retroactive and will only be effective the first of the following month. Staff should provide appropriate phone numbers (Health Net: 800-675-6110, Molina: 888-665-4621) and advise hospitalized members they cannot transfer until discharge. Update patient communication scripts accordingly.