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MedicaidReimbursementMedium impact

25-298m Dyadic Care Services Approved for Reimbursement at Medi-Cal Fee-for-Service (FFS) Rates

Health Net·CA · Family Medicine, Pediatrics, Psychiatry·Prior Authorization
Effective date
Mar 15, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Medi-Cal now reimburses FQHCs, RHCs, and Tribal Health Programs at additional Fee-for-Service rates for dyadic care services (preventive behavioral health for children 0-20 and caregivers) when delivered on the same day, effective retroactively to March 15, 2023. Eligible providers now include physicians and psychiatrists who can bill for these integrated child-caregiver mental health services.

Action Required

Action needed
Immediately: Billing teams at FQHCs, RHCs, and Tribal Health Programs should review the Dyadic Services Billing Examples PDF to understand proper billing procedures for dyadic care services. Update billing systems to capture additional FFS reimbursement for same-day dyadic services. Train providers on expanded eligibility for physicians and psychiatrists to deliver and bill for dyadic services retroactive to March 15, 2023.