MedicaidAdministrativeLow impact
24-844 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 Federally Qualified Health Centers Alternative Payment Methodology pilot program that started July 1, 2024. This means standard Medi-Cal billing procedures and rates will continue to apply for services at Harbor Community Health Centers instead of the new capitated payment model.
Action Required
Immediately: Billing team should verify that Harbor Community Health Centers is coded in billing system with standard Medi-Cal fee-for-service rates rather than APM capitated rates. Check provider portal for current FQHC rates and applicable NPIs. No workflow changes needed for most practices unless directly contracting with Harbor Community Health Centers.