MedicaidReimbursementMedium impact
23-1113m 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 specific guidelines to avoid payment processing delays for certain physician services.
Action Required
Immediately: Billing team must download and review the Proposition 56 Directed Payments Provider Update PDF from HealthNet's provider portal. Update billing procedures to follow the new guidelines for physician services to avoid payment processing delays. Ensure compliance for all Medi-Cal claims in affected counties.