MedicaidAdministrativeMedium impact
25-478m Learn Which Anesthesia and Facility Fees are PPG Responsibility for Dental Procedures
Health Net·CA · Dentistry, Oral & Maxillofacial Surgery, Anesthesiology·Provider News
Effective date
May 23, 2025
We identified it
Jun 20, 2026
Summary
HealthNet California has published guidance clarifying which anesthesia and facility fees are the responsibility of Participating Physician Groups (PPGs) for dental procedures in Medi-Cal. The policy provides DHCS charts to determine who processes prior authorizations and payments for these services.
Action Required
Immediately: Billing teams for PPGs in Fresno, Kings, and Madera counties must download the Provider Update PDF from HealthNet's provider library to review DHCS charts. Use these charts to determine proper processing of prior authorizations and payments for anesthesia and facility fees related to dental procedures under Medi-Cal.