MedicaidReimbursementLow impact
24-845 Update: Harbor Community Health Centers Opt Out of Participation in APM Pilot Program
Health Net·CA·Prior Authorization
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Harbor Community Health Centers has opted out of the FQHC Alternative Payment Methodology (APM) pilot program that began July 1, 2024. This affects billing and payment processes for services provided by this specific FQHC in Imperial County, California for Medi-Cal patients.
Action Required
Immediately: Billing team should verify if your practice works with Harbor Community Health Centers in Imperial County, CA. If yes, ensure billing processes follow standard FQHC reimbursement methodology rather than the new APM pilot program. Contact Community Health Plan of Imperial Valley at 833-236-4141 for specific billing guidance.