MedicaidAdministrativeMedium impact
22-544m Members Get Better, Simpler Medi-Cal from Mandatory Medi-Cal Enrollment
Health Net·CA·Provider News
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Effective January 1, 2023, California's Medi-Cal program transitioned all fee-for-service beneficiaries to mandatory managed care enrollment in specified counties. Providers will see an increase in Health Net Medi-Cal managed care patients and a decrease in fee-for-service patients.
Action Required
Billing team should review and update provider operations manuals available in Health Net's Provider Library to reflect changes in Medi-Cal patient population mix. Monitor patient eligibility verification processes to ensure proper identification of Health Net Medi-Cal managed care vs fee-for-service status.