MedicaidAdministrativeMedium impact
Provider Bulletin 06-10-2025 Timely Access Requirements APL 25-006 IE LA SAC SD
Molina Healthcare·CA·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California has updated timely access requirements for Medi-Cal providers, reinforcing appointment scheduling standards and compliance monitoring. Providers must ensure they can meet specific appointment timeframes (48 hours for urgent care, 10-15 business days for routine appointments) and participate in quarterly DHCS surveys to verify appointment availability and provider directory accuracy.
Action Required
By September 8, 2025: Update policies and procedures to comply with APL 25-006 and submit to DHCS or attest no changes needed. Immediately: Train staff on timely access standards (48 hours for urgent care, 10 business days for PCP, 15 business days for specialists). Ensure interpreter services are available at appointments. Regularly update practice contact information, office hours, and services in Molina's provider directory. Prepare staff to respond promptly to DHCS or Molina surveys regarding appointment availability. Non-compliance may result in corrective actions or sanctions.