MedicaidAdministrativeMedium impact
06-23-2026 Quick Guide for Providers Accessing Medi-Cal Member Redetermination Dates IE LA SAC SD
Molina Healthcare·CA·Medicaid
Effective date
Jun 23, 2026
We identified it
Jun 26, 2026
Summary
Molina Healthcare of California has released a new guide enabling providers to access Medi-Cal member redetermination (renewal) dates through three methods: Availity Essentials portal, monthly E-list membership files, and AVES eligibility verification system. Providers are now encouraged to proactively check member renewal dates and remind patients to complete annual eligibility reviews before their due dates to prevent coverage gaps.
Action Required
By June 30, 2026: Billing and front-desk staff must incorporate Medi-Cal member redetermination date checks into routine patient eligibility verification workflows. (1) Billing team: Begin accessing member redetermination dates via Availity Essentials portal (Patient Care Portlet or Eligibility & Benefits Inquiry), E-list Column 25, or AVES system during each patient encounter. (2) Front-desk/clinical staff: Add redetermination date review to check-in process and proactively notify patients of upcoming renewal deadlines. (3) Providers: Contact assigned Molina Provider Relations Representative if staff need system access setup or technical support (contact directory provided in bulletin). Action affects only Molina Healthcare Medi-Cal members in covered service areas. Failure to track redetermination dates may result in patient coverage lapses and claim denials for services rendered after eligibility termination.