MedicaidAdministrativeLow impact
24-843 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 pilot program that began July 1, 2024. This means they will revert to standard FQHC billing and reimbursement methods rather than the new capitated payment model.
Action Required
Billing team should verify current billing methods for Harbor Community Health Centers patients in Fresno, Kings, and Madera counties. Ensure billing follows standard FQHC procedures rather than APM pilot program requirements. Check provider portal for real-time eligibility verification at 888-893-1569 if questions arise.