MedicaidReimbursementMedium impact
24-823 Stay Informed About the Medi-Cal Targeted Rate Increase (TRI) and Changes to Prop 56 Physician Services Payments
Health Net·CA·Reimbursement
Effective date
Jul 31, 2024
We identified it
Jun 20, 2026
Summary
HealthNet California has announced changes to Medi-Cal Targeted Rate Increase (TRI) and Proposition 56 physician services payments that affect how providers will be reimbursed. This policy provides updated information on payment calculations for physicians, behavioral health providers, and doulas in Imperial County.
Action Required
Immediately: Billing team should download and review the Provider Update PDF from HealthNet's provider library to understand new payment calculation methods for Medi-Cal TRI and Prop 56 physician services. Update billing expectations and fee schedules accordingly for Imperial County Medi-Cal patients.