MedicaidReimbursementLow impact
22-822m Stay Current with OMB Rates for American Indian Health Programs
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Health Net updated OMB reimbursement rates for American Indian Health Service programs effective January 1, 2022. New encounter rates are $640 for Non-Dual Medi-Cal beneficiaries and $495.87 for Dual eligible beneficiaries.
Action Required
Billing team should verify current OMB encounter rates in billing system for American Indian Health Service programs are set to $640 for Non-Dual Medi-Cal beneficiaries and $495.87 for Dual eligible beneficiaries. Contact Health Net Provider Services within 60 days if questions arise about IHS program billing.