MedicaidCoverageMedium impact
24-104m Find Out What Changed: AB 1369 Expands Access to Care for Eligible Patients via Telehealth
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
California AB 1369 allows out-of-state physicians to provide telehealth services to California patients with immediate life-threatening conditions, effective January 1, 2024. Claims for Medi-Cal members will be covered at Medi-Cal rates when specific eligibility and documentation requirements are met.
Action Required
Immediately: Billing team should verify patient eligibility and required documentation before processing telehealth claims from out-of-state providers for life-threatening conditions. Ensure primary physician documentation includes patient's life-threatening condition status, written informed consent, and clinical trial participation status. Contact CalViva Health at 888-893-1569 for questions about Medi-Cal coverage verification.