MedicaidAdministrativeHigh impact
23-1181m Providers Must Meet Medi-Cal In-Person Referral Requirement for Telehealth
Health Net·CA·Provider News
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Effective January 1, 2024, Medi-Cal providers offering telehealth services must either provide the same services in-person or arrange referrals to in-person care. Providers must maintain protocols for referrals when telehealth cannot meet the standard of care and facilitate the referral by sharing clinical data.
Action Required
Immediately: All providers offering telehealth services must establish protocols for in-person referrals when telehealth cannot meet standard of care. Providers must either offer same services in-person or create referral arrangements. Update EMR templates to include referral protocols and ensure clinical data sharing processes are in place for patient referrals. This applies to all video and audio-only telehealth services.