MedicaidReimbursementMedium impact
22-757 Update: Prop 56 Directed Payments for Family Planning Services
Health Net·CA · Family Medicine, OB-GYN, General Practice·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 for Medi-Cal members. The new rates are effective for dates of service on or after July 1, 2019, and apply to providers in seven specific California counties.
Action Required
Billing team should download the PDF from HealthNet's provider library to review updated payment rates for family planning services. Verify that billing system is capturing the correct reimbursement rates for Medi-Cal family planning services for dates of service July 1, 2019 and later in affected counties (Kern, Los Angeles, Sacramento, San Diego, San Joaquin, Stanislaus, and Tulare).