MedicaidReimbursementMedium impact
Provider Bulletin 03-28-2025 2025 Pay-For-Performance HEDIS Performance Bonus Program IE LA SAC SD
Molina Healthcare·CA · Family Medicine, Internal Medicine, General Practice +2 more·Quality Measures
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare California updated their 2025 Pay-For-Performance HEDIS program for Medi-Cal providers, discontinuing end-of-year add-on bonuses while continuing biannual P4P payments for quality measures like childhood immunizations, cervical cancer screening, and diabetes management with specific bonus amounts ranging from $25-$150 per service.
Action Required
Immediately: Complete Provider Acknowledgement Form and submit with current W-9 to appropriate county email address to enroll in P4P program. Contact assigned Practice Transformation Specialist to schedule P4P coordination meeting. Update documentation workflows to capture HEDIS quality measures for bonus eligibility.