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Medi-CalMedicaid · Coverage · Provider Bulletin · CA · Dermatology, Wound Care, GeriatricsMedium impact

November 2026 Updates to the Medi-Cal List of Contracted Incontinence Creams and Washes

Act
by Oct 31, 2026
Effective date
Nov 1, 2026
Identified
Sep 10, 2026

Summary

Effective November 1, 2026, the California Department of Health Care Services (DHCS) will update the Medi-Cal List of Contracted Incontinence Creams and Washes based on an annual review. This change applies only to fee-for-service Medi-Cal members; managed care members must follow their individual plan formularies. The specific product list changes will be released in a future Medi-Cal Update.

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What to do

by Oct 31, 2026 · 4 steps
01Billing team must obtain and review the updated Medi-Cal List of Contracted Incontinence Creams and Washes when released.
02Update billing system and EMR to reflect any removed or newly covered products.
03Verify that incontinence cream and wash claims for fee-for-service Medi-Cal members (only) reference contracted products on the updated list.
04For Medi-Cal managed care claims, continue verifying coverage against individual plan formularies.
If missed: Failure to bill only contracted products for fee-for-service Medi-Cal may result in claim denials or claim adjustments.

Original notice

November 2026 Updates to the Medi-Cal List of Contracted Incontinence Creams and Washes
mcweb.apps.prd.cammis.medi-cal.ca.gov · Always check the source before changing claims.
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