MedicaidAdministrativeMedium impact
06-09-2026 Updates to Network Adequacy Standards and Methodology DMHC APL 25-019 IE LA SAC SD
Molina Healthcare·CA·Provider Bulletin
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California has updated network adequacy standards effective January 1, 2026, requiring providers to maintain accurate directory information, ensure active patient availability, and comply with enhanced reporting requirements. The changes also expand block transfer filing requirements with stricter timelines for contract terminations.
Action Required
Before January 1, 2026: All Molina contracted providers must update and maintain accurate practice information including addresses, office hours, panel status, and specialty services in provider directories. Respond promptly to Molina requests for directory validation, participation status verification, and capacity reporting. Ensure active patient scheduling and availability to avoid being considered unavailable within the network.