MedicaidAdministrativeMedium impact
Provider Bulletin 08-15-2025 Timely Access Standards IM IE LA OC SAC SD
Molina Healthcare·CA·Provider Bulletin
Effective date
Aug 15, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California updated timely access standards for appointment scheduling across multiple California counties. The policy establishes specific timeframes for different appointment types, including emergency care (immediately), urgent care (48-96 hours), routine PCP visits (10 business days), and specialist appointments (15 business days).
Action Required
Immediately: Review current appointment scheduling processes to ensure compliance with Molina's access standards. Front desk staff must schedule emergency care immediately, urgent care within 48 hours (96 hours if prior auth required), routine PCP appointments within 10 business days, and specialist appointments within 15 business days. Ensure 24/7 on-call coverage is maintained with proper after-hours messaging that instructs patients to call 911 for emergencies. Office wait times must not exceed 30 minutes for scheduled appointments.