MedicaidAdministrativeMedium impact
21-129 Offer 24-Hour Non-Emergency Medical Transportation to Medi-Cal Members Who Need a Ride to Pharmacies and Urgent Care (Dual Risk)
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Health Net Medi-Cal dual-risk entities (financially responsible physician groups and hospitals) must now provide 24-hour non-emergency medical transportation (NEMT) to members needing rides to pharmacies and urgent care facilities. This change supports the transition to Medi-Cal Rx pharmacy services program.
Action Required
Dual-risk entities must immediately coordinate with their transportation providers to ensure 24-hour NEMT availability for Medi-Cal members needing transportation to 24-hour pharmacies and urgent care facilities. Update provider operations procedures to reflect extended transportation hours. Contact Health Net Provider Services at 800-675-6110 within 60 days if questions arise.