MedicaidCoverageMedium impact
23-026 Help Medi-Cal Members with Complex Cancer Access Critical Care
Health Net·CA · Oncology, Hematology·Provider News
Effective date
Jan 3, 2023
We identified it
Jun 20, 2026
Summary
Health Net is expanding access to specialized cancer centers for Medi-Cal members with complex cancer cases in 9 specific California counties. This policy helps members access additional treatment options that may improve survival outcomes for hard-to-treat cancers.
Action Required
Immediately: Billing teams in affected counties should review referral processes for complex cancer cases to ensure Medi-Cal members can access specialized cancer centers. Update referral workflows to include cancer center options for hard-to-treat cases. Coordinate with providers to identify appropriate candidates for specialized cancer treatment.