MedicaidReimbursementMedium impact
20-026 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 physician services have been extended through December 31, 2021, maintaining the same rates as SFY 2018-2019. These supplemental payments apply to specific CPT codes for office visits, preventive care, and psychiatric services in seven California counties.
Action Required
Immediately: Billing team must ensure current W-9 forms are on file for all providers to receive Prop 56 supplemental payments. Submit W-9 forms to HNCA_W9_Submissions@CENTENE.COM with 'Prop 56 W9' in subject line or fax to 1-833-794-0423. Verify claims are submitted with qualifying CPT codes for Medi-Cal patients in Kern, Los Angeles, Sacramento, San Diego, San Joaquin, Stanislaus, and Tulare counties. Supplemental payments will be made within 90 days of clean claims.