MedicaidReimbursementMedium impact
23-004m Update: Prop 56 Directed Payments for Family Planning Services
Health Net·CA · Family Medicine, OB-GYN, Internal Medicine·Reimbursement
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Summary
HealthNet California has updated payment rates for family planning services under Proposition 56 directed payments, affecting Medi-Cal providers in Fresno, Kings, and Madera counties. The new payment rates are effective for dates of service on or after July 1, 2019.
Action Required
Immediately: Billing team should download and review the Provider Update PDF from HealthNet's provider library to understand the new Proposition 56 payment rates for family planning services. Update billing system fee schedules for Medi-Cal claims in Fresno, Kings, and Madera counties to reflect the enhanced reimbursement rates effective July 1, 2019.