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MedicaidReimbursementMedium impact

24-821 Stay Informed About the Medi-Cal Targeted Rate Increase (TRI) and Changes to Prop 56 Physician Services Payments

Health Net·CA · Family Medicine, Internal Medicine, General Practice +2 more·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

HealthNet is providing updates about Medi-Cal Targeted Rate Increase (TRI) and changes to Proposition 56 physician services payments. This affects how Medi-Cal payments are calculated for physicians, behavioral health providers, and doulas in specific California counties.

Action Required

Action needed
Immediately: 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. Billing team should verify current payment rates and update any internal rate tables if applicable for affected California counties.