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[California] Action required: Coordinate Community Supports transitions for UIS members
Effective date
Jan 1, 2027
Identified
Oct 27, 2026
Summary
Effective January 1, 2027, Medi-Cal members with unsatisfactory immigration status (UIS) will transition from Medi-Cal Managed Care to Medi-Cal Fee-for-Service (FFS). Community Supports services will no longer be available through Medi-Cal FFS for these members. Billing teams and care providers must coordinate transition planning and identify alternative services before the deadline to minimize disruptions.
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What to do
Action · 10 steps
01Before January 1, 2027: Community Supports care providers must engage in transition planning and care coordination with affected UIS members.
02Specific required actions include.
03Identify appropriate post-transition services through coordination with members' PCPs and clinical/behavioral health/county/social service partners.
04Identify alternative Medi-Cal FFS care providers using the DHCS Medi-Cal FFS Provider Finder App.
05Refer members to appropriate post-transition services.
06Ensure members transition to appropriate service care providers within the Medi-Cal FFS delivery system.
07Continue authorizing and providing Community Supports services through December 31, 2026.
08Billing teams should verify current applicability and confirm which members in your patient panel have UIS status to prioritize outreach.
09After January 1, 2027, Community Supports will no longer be billable to Medi-Cal FFS; claims submitted for these services post-transition will be denied.
10Interested providers may alternatively enroll as Medi-Cal FFS providers to bill for Community Health Worker (CHW) services for eligible members.
Original notice
[California] Action required: Coordinate Community Supports transitions for UIS members
providernews.anthem.com · Always check the source before changing claims.
Related changes
See all Anthem BCBS changes →[California] TCS care providers: UIS member transition to Medi-Cal FFSHighEffective Jan 1, 2027 · Provider Bulletin[California] Continuing Community Health Worker services following the UIS transitionHighEffective Jan 1, 2027 · Provider Bulletin[California] UIS resident coverage transition to Medi-Cal FFSMediumEffective Jan 1, 2027 · Provider Bulletin[California] Important information regarding UIS transition to Medi-Cal Fee-for-ServiceHighEffective Jan 1, 2027 · Provider BulletinBrowse every Anthem BCBS change in the policy list