MedicaidAdministrativeMedium impact
01-09-2026 Timely Access Standards IM IE LA OC SAC SD
Molina Healthcare·CA·Provider Bulletin
Effective date
Jan 9, 2026
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California has issued updated timely access standards for appointment scheduling that all network providers must follow. The policy establishes specific timeframes for urgent care (48-96 hours), non-urgent appointments (10-15 business days), and requires 24/7 on-call coverage with proper after-hours telephone services.
Action Required
Immediately: Front desk staff must ensure appointment scheduling complies with Molina's access standards - urgent care within 48-96 hours, non-urgent PCP visits within 10 business days, specialist visits within 15 business days. Providers must establish 24/7 on-call coverage with answering service or recorded message directing emergencies to 911. Update office policies to ensure minimum 20 hours weekly availability and proper after-hours protocols. Failure to meet these standards will result in corrective actions by Molina.