MedicaidCoverageMedium impact
24-718 Pharmacists Can Provide More Services to Members Under AB 317
Health Net·CA·Pharmacy
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Assembly Bill 317 expands pharmacist scope of practice and requires them to be reimbursed under members' medical benefits for covered services, effective January 1, 2024. This applies to Medi-Cal, Ambetter HMO, Ambetter PPO, and Employer Group HMO/POS and PPO plans administered by Health Net.
Action Required
Immediately: Billing teams in affected California counties must update systems to process pharmacist service claims under medical benefits rather than pharmacy benefits for Health Net Medi-Cal, Ambetter, and Employer Group plans. Review Health Net's updated provider operations manuals in their Provider Library to understand specific billing requirements and reimbursement procedures for pharmacist-delivered services.