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[California] TCS care providers: UIS member transition to Medi-Cal FFS
Effective date
Jan 1, 2027
Identified
Oct 30, 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). Transitional Care Services (TCS) will no longer be available to these members under FFS, though TCS authorization continues through December 31, 2026. TCS care providers must complete transition planning and warm handoffs by December 31, 2026, to prevent care disruptions.
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What to do
Action · 4 steps
01Before January 1, 2027: TCS care providers must coordinate transition planning with members' PCPs, other care management providers, behavioral healthcare providers, county agencies, social services, and community-based organizations.
02Verify whether existing care providers can continue serving members under Medi-Cal FFS, identify alternative Medi-Cal FFS care providers when necessary, assess member eligibility for other available services (care management, behavioral health, home- and community-based services, CHW services), transfer applicable assessments and care plans to receiving providers, and complete warm handoffs no later than December 31, 2026.
03Billing team and providers should confirm current Medi-Cal FFS provider enrollment via PAVE (https://www.dhcs.ca.gov/providers-partners/provider-application-and-validation-for-enrollment/) and explore alternative service opportunities (care coordination, case management, CHW services) to continue serving transitioning members.
04Anthem Blue Cross will continue to authorize, provide, and pay for TCS through December 31, 2026; TCS claims for transitioned members will not be reimbursable beginning January 1, 2027.
Original notice
[California] TCS care providers: UIS member transition to Medi-Cal FFS
providernews.anthem.com · Always check the source before changing claims.
Related changes
See all Anthem BCBS changes →[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 Bulletin[California] Important notice for PCPs serving UIS members transitioning to Medi-Cal FFSHighEffective Jan 1, 2027 · Provider BulletinBrowse every Anthem BCBS change in the policy list