MedicaidCoverageMedium impact
24-106m 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. Primary physicians must document patient eligibility and obtain informed consent, with Medi-Cal covering claims at standard rates.
Action Required
Immediately: Billing team should note that telehealth services from eligible out-of-state providers for life-threatening conditions will be covered by Medi-Cal at standard rates. Providers must ensure proper documentation of patient eligibility, informed consent, and clinical trial status is obtained before services. Update billing procedures to handle out-of-state telehealth provider claims for Imperial County Medi-Cal members.