MedicaidAdministrativeMedium impact
Provider Bulletin 04-04-2025 Timely Access to Care IM IE LA OC SAC SD
Molina Healthcare·CA·Provider Bulletin
Effective date
Apr 4, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California issued a provider bulletin clarifying timely access to care standards for network providers. The bulletin emphasizes that while specific appointment timeframes must be met, providers can extend waiting times if they document that a longer wait will not harm the patient's health.
Action Required
Immediately: Providers must ensure compliance with timely access standards - Primary care appointments within 10 business days, specialty care within 15 business days, urgent care within 48-96 hours, and mental health follow-up within 10 business days. When extending appointment wait times beyond these standards, providers must document in the patient's medical record that the longer wait will not harm the patient's health. Front desk staff should review appointment scheduling procedures to ensure compliance with these timeframes.