MedicaidAdministrativeMedium impact
23-967m New Changes to Prop 56 Directed Payments for Family Planning Services
Health Net·CA · Family Medicine, Internal Medicine, OB-GYN·Provider News
Effective date
Aug 31, 2023
We identified it
Jun 20, 2026
Summary
HealthNet California has updated guidelines for Proposition 56 directed payments (add-on payments) for family planning services in Medi-Cal. Providers must follow new processing guidelines to avoid delays in receiving these supplemental payments for qualifying family planning services.
Action Required
Immediately: Billing team should download the Provider Update PDF from HealthNet's provider library and review new guidelines for Prop 56 directed payment processing. Update billing workflows for family planning services to ensure compliance with new requirements to avoid payment delays. This applies to providers in Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties.