MedicaidAdministrativeMedium impact
Provider Bulletin 10-24-2025 Timely Access Standards IM IE LA OC SAC SD
Molina Healthcare·CA·Provider Bulletin
Effective date
Oct 24, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California has issued updated timely access standards that require providers to meet specific appointment scheduling timeframes for urgent care (48 hours), non-urgent primary care (10 business days), specialty care (15 business days), and behavioral health services. Providers must maintain 24/7 phone coverage and ensure PCPs coordinate all member care within these mandated timeframes.
Action Required
Immediately: Review current appointment scheduling processes to ensure compliance with Molina's access standards - urgent care within 48 hours, non-urgent PCP visits within 10 business days, specialist visits within 15 business days. Front desk staff must implement these timeframes when scheduling Molina Medi-Cal and Marketplace members. Providers must ensure 24/7 phone coverage is active (not just voicemail) and document any cases where longer wait times are medically appropriate in patient records.