MedicaidReimbursementMedium impact
22-669 Alert! Proposition 56 Value-Based Payment Program Has Ended
Health Net·CA · Family Medicine, Internal Medicine, Pediatrics +2 more·Prior Authorization
Effective date
Jun 30, 2022
We identified it
Jun 20, 2026
Summary
The Proposition 56 Value-Based Payment (VBP) Program for Medi-Cal in Fresno, Kings and Madera counties has ended effective June 30, 2022. Enhanced payments for prenatal/postpartum care, early childhood preventive care, chronic disease management, and behavioral care services are no longer available for services performed after this date.
Action Required
Immediately: Billing team must stop expecting VBP enhanced payments for Medi-Cal services in Fresno, Kings and Madera counties performed after June 30, 2022. Update billing expectations and financial projections to reflect standard Medi-Cal reimbursement rates only. Continue processing existing claims for services through June 30, 2022.