MedicaidCoverageLow impact
21-264 Updates to COVID-19 Vaccine Eligibility Requirements
Health Net·CA·Provider News
Effective date
Apr 1, 2021
We identified it
Jun 20, 2026
Summary
This policy expands COVID-19 vaccine eligibility criteria for Medi-Cal members in Fresno, Kings and Madera counties, with phased rollouts starting April 1, 2021 for ages 50+ and April 15, 2021 for all residents 16+. The policy allows self-attestation for high-risk medical conditions without requiring documentation.
Action Required
No immediate action required for billing team as this is an outdated 2021 COVID-19 vaccine eligibility policy that has been superseded by current vaccination guidelines. Review current COVID-19 vaccination billing procedures and eligibility criteria from more recent policy updates.