MedicaidAdministrativeHigh impact
Provider Bulletin 11-12-2025 Regulatory Updates - AB 3275 IM IE LA OC SAC SD
Molina Healthcare·CA·Compliance
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
California AB 3275 reduces claim payment timelines from 45 working days to 30 calendar days for complete claims, effective January 1, 2026. Health plans must also notify providers of incomplete claims within 30 days, and complaint processes are being updated for Medi-Cal and Marketplace plans.
Action Required
By January 1, 2026: Billing team must update claims submission workflows to ensure all claims are complete upon initial submission to meet new 30-day payment requirements. Review and clean up pending claims processes to align with shortened timelines. Update grievance procedures for payment delays. Monitor for 'clean claim' criteria definitions expected by July 31, 2025.