MedicaidAdministrativeMedium impact
23-1115m Updates to Proposition 56 Directed Payments for Physician Services
Health Net·CA·Reimbursement
Effective date
Sep 28, 2023
We identified it
Jun 20, 2026
Summary
HealthNet California updated guidelines for Proposition 56 directed payments for physician services in Medi-Cal. Providers must follow new processing guidelines to avoid payment delays for certain physician services in Fresno, Kings, and Madera counties.
Action Required
Immediately: Billing team should download and review the Provider Update PDF from HealthNet's provider library to understand the new Proposition 56 directed payment guidelines. Update billing workflows for Medi-Cal claims in Fresno, Kings, and Madera counties to follow the new processing requirements to prevent payment delays.