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Anthem BCBSMedicaid · Administrative · Provider Bulletin · CA · PediatricsHigh impact

[California] Important information regarding UIS transition to Medi-Cal Fee-for-Service

Effective date
Jan 1, 2027
Identified
Oct 27, 2026

Summary

Effective January 1, 2027, members with unsatisfactory immigration status (UIS) will transition from Anthem Blue Cross Medi-Cal Managed Care to Medi-Cal Fee-for-Service (FFS). California Children's Services (CCS) providers must confirm their ability to serve affected members under FFS and coordinate care transitions before the effective date to prevent service disruptions.

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What to do

Action · 7 steps
01Before January 1, 2027: CCS-paneled providers and specialty care centers must complete the following actions.
02Verify with Anthem Blue Cross whether current CCS care providers can and are willing to continue providing services under Medi-Cal FFS.
03Confirm continued CCS enrollment and paneling compliance with applicable requirements via the CCS Provider Paneling Portal (https://cmsprovider.cahwnet.gov/PANEL/index.jsp).
04Identify alternative Medi-Cal FFS-enrolled providers if current providers cannot continue care, using the provider directory at https://data.chhs.ca.gov/dataset/profile-of-enrolled-medi-cal-fee-for-service-ffs-providers.
05Coordinate member transitions with CCS County Administrators, PCPs, and community-based partners to minimize service disruptions.
06Failure to complete transition planning before January 1, 2027 may result in gaps in care and treatment disruptions for affected CCS members.
07Contact Provider Services via the member ID card for questions regarding affected members or continued participation.

Original notice

[California] Important information regarding UIS transition to Medi-Cal Fee-for-Service
providernews.anthem.com · Always check the source before changing claims.
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