← Back to list
Justice-Involved (JI) Reentry Initiative: Claim Submission and Timeliness Reminder
Act
immediately
Effective date
Jul 10, 2026
Identified
Jul 11, 2026
Summary
Medi-Cal has implemented a timeliness penalty structure for Justice-Involved (JI) Reentry providers. Claims must be submitted within 6 months of service for full reimbursement; late claims face graduated reductions (75% for months 7-9, 50% for months 10-12) and are denied entirely after 12 months. Approved delay reason codes may provide exceptions.
Get alerts when payers change rules like this one
We check Medi-Cal and other payers every day and email you when a change matches your specialty and state.
Get Medi-Cal alertsPolicy Monitoring is free. No card required.
What to do
immediately · 6 steps
01Billing team must implement claims timeliness tracking system for all JI Reentry provider claims.
02Establish internal deadline of 5 months post-service-month to submit all claims to Medi-Cal to ensure compliance.
03Update billing software to flag or automatically hold JI Reentry claims submitted beyond the 6-month window and route for delay reason code assignment before submission.
04Train billing staff on the penalty structure: claims in months 7-9 post-service will receive 75% payment, months 10-12 will receive 50% payment, and claims after 12 months will be denied.
05Create tracking reports to monitor submission timeliness and identify patterns of late billing.
06Communicate deadline requirements to all JI Reentry providers in your network.
If missed: Failure to meet the 6-month deadline will result in reduced or denied claim reimbursement, directly impacting practice revenue.
Original notice
Justice-Involved (JI) Reentry Initiative: Claim Submission and Timeliness Reminder
mcweb.apps.prd.cammis.medi-cal.ca.gov · Always check the source before changing claims.