MedicaidAdministrativeMedium impact
24-499m Support Nurse Practitioners and Physician Assistants in Expanding Access to Care
Health Net·CA·Provider News
Effective date
May 29, 2024
We identified it
Jun 20, 2026
Summary
New California law allows nurse practitioners to work without physician supervision in Fresno, Kings, and Madera counties for Medi-Cal patients. This may affect billing for NP services and incident-to billing arrangements in these counties.
Action Required
Immediately: Billing teams in Fresno, Kings, and Madera counties should review NP billing procedures for Medi-Cal patients. Verify if incident-to billing rules have changed and update billing protocols accordingly. Contact HealthNet California for specific billing guidance on unsupervised NP services.