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MedicaidReimbursementMedium impact

23-005m Update: Prop 56 Directed Payments for Family Planning Services

Health Net·CA · Family Medicine, Internal Medicine, OB-GYN·Reimbursement
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

HealthNet California has updated payment rates for family planning services under Proposition 56 directed payments, with new rates effective for dates of service on or after July 1, 2019. This policy applies to physicians, participating physician groups, and ancillary providers in specified California counties.

Action Required

Action needed
Immediately: Billing team should download the updated Provider Update PDF from HealthNet's provider library to review specific payment rates for family planning services. Verify that billing system is capturing the correct reimbursement rates for family planning services provided to HealthNet California members in affected counties since July 1, 2019.