MedicaidCoverageMedium impact
Provider Bulletin 12-10-2025 Justice-Involved Pre-Release Service SD
Molina Healthcare·CA·Provider Bulletin
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California is implementing a new Justice-Involved Reentry Initiative effective January 1, 2026, providing Medi-Cal coverage for pre-release services to incarcerated members up to 90 days before release. This includes reentry case management, clinical consultations, lab/radiology services, medications, and durable medical equipment for justice-involved populations in San Diego County.
Action Required
Before January 1, 2026: Billing team must review the DHCS Justice-Involved Initiative Policy and Operational Guide when available on the DHCS website. Update billing workflows to recognize and process claims for justice-involved members receiving pre-release services including case management, clinical consultations, lab/radiology, medications (including MAT), and DME. Contact Molina Provider Relations Representative for specific billing procedures and requirements to ensure compliance and avoid potential corrective action plans or sanctions.