MedicaidDocumentationMedium impact
01-07-2026 California Children’s Services (CCS) Program Medical Documentation IE LA SAC SD
Molina Healthcare·CA · Pediatrics·Provider Bulletin
Effective date
Jan 7, 2026
We identified it
Jun 19, 2026
Summary
Molina Healthcare is reminding providers that ALL CCS referrals and service authorization requests (SARs) must include supporting medical documentation for upload into CMS Net or PEDI systems. Counties must upload medical records, diagnostic reports, clinical notes, and treatment plans to avoid claim denials.
Action Required
Immediately: For all California Children's Services (CCS) referrals and service authorization requests, billing team and providers must ensure complete supporting documentation is submitted including medical records, diagnostic reports, clinical notes, and treatment plans. Verify county has uploaded documentation into CMS Net or PEDI before submitting claims. Failure to provide supporting documentation will result in claim denials.