MedicaidCoverageMedium impact
24-105m Find Out What Changed: AB 1369 Expands Access to Care for Eligible Patients via Telehealth
Health Net·CA·Reimbursement
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
California AB 1369, effective January 1, 2024, allows out-of-state physicians to provide telehealth services to California patients with immediate life-threatening conditions. Patients must meet specific eligibility requirements including primary physician documentation, informed consent, and clinical trial participation criteria.
Action Required
Immediately: Billing team should establish workflows for telehealth services provided by out-of-state physicians for life-threatening conditions. Update systems to recognize these services are covered at Medi-Cal rates for Medi-Cal members. Ensure documentation requirements are met: primary physician attestation, written informed consent, clinical trial participation documentation. Contact Health Net Provider Services at appropriate numbers for questions about coverage and billing procedures.