MedicaidReimbursementMedium impact
23-1347 Changes to Reimbursement Process for American Indian Clinics
Health Net·CA·Reimbursement
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Starting January 1, 2024, American Indian Clinics in specific California counties will receive reimbursements in two separate payments instead of one: first the standard Medi-Cal amount, then the remaining OMB rate portion. The total payment amount remains unchanged, only split into two transactions.
Action Required
By January 1, 2024: Billing teams at Indian Health Clinics/Tribal/Urban Indian Health Centers in Amador, Calaveras, Inyo, Mono, Imperial, and Tuolumne counties must update accounting procedures to expect and reconcile two separate payments for each Medi-Cal claim instead of one. Update payment posting workflows to account for initial standard payment followed by separate OMB rate payment. Contact Health Net at 800-675-6110 with questions about the new payment process.