MedicaidReimbursementMedium impact
20-028 Prop 56 Rates Extended for SFY 2019-2021
Health Net·CA · Family Medicine, Internal Medicine, General Practice +2 more·Reimbursement
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Summary
Proposition 56 supplemental payment rates for Medi-Cal physicians in Fresno, Kings, and Madera counties have been extended through December 31, 2021, maintaining the same rates as SFY 2018-2019. Providers must have a current W-9 on file and submit clean claims with qualifying CPT codes to receive supplemental payments within 90 days.
Action Required
Immediately: Billing team must verify current W-9 forms are on file for all providers (update if not submitted in past 12 months). Ensure clean claims are submitted with qualifying CPT codes for Medi-Cal patients in Fresno, Kings, and Madera counties. Email updated W-9 forms to HNCA_W9_Submissions@Centene.com with subject 'Prop 56 W9' or fax to 1-833-794-0423. Supplemental payments will be made within 90 days of clean claim submission.