MedicaidAdministrativeMedium impact
04-02-2026 ECM and CS Billing Guide IE LA SAC SD
Molina Healthcare·CA·Claims & Billing
Effective date
Apr 2, 2026
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California has published a new Enhanced Care Management (ECM) and Community Supports (CS) Billing Guide for Medi-Cal providers. The guide provides billing expectations, HCPCS codes, required modifiers, claims submission guidance, and documentation requirements for ECM and CS services.
Action Required
Immediately: All providers serving Medi-Cal patients must review the new ECM and CS Billing Guide on the MHC Provider website. Billing team should update coding procedures to align with Molina's billing, coding, and documentation standards for Enhanced Care Management and Community Supports services. Update billing system with applicable HCPCS codes and required modifiers as specified in the guide.