MedicaidReimbursementMedium impact
24-717 Pharmacists Can Provide More Services to Members Under AB 317
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
AB 317 expands pharmacist services for Medi-Cal members effective January 1, 2024, requiring pharmacists to be reimbursed under the member's medical benefit for covered services within their scope of practice. Participating Physician Groups (PPGs) must now pay pharmacists for these services under their Division of Financial Responsibility.
Action Required
Immediately: Billing team must update systems to process and reimburse pharmacist-provided services for Medi-Cal members under medical benefits rather than pharmacy benefits. Update contracts and payment protocols with in-network and out-of-network pharmacies. Ensure pharmacist services are categorized under appropriate Division of Financial Responsibility guidelines. Review provider operations manual updates in the Provider Library on the provider portal.