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California DHCS (Medi-Cal) · October 24, 2026 · Primary source

Stakeholder News, October 19, 2026

Score 56PRIMARYregulatoryState MedicaidCA

Summary

California DHCS's October 19, 2026 stakeholder newsletter announces publication of a Medi-Cal Fee-for-Service Provider Toolkit to help providers prepare for the January 1, 2027 managed care to fee-for-service transition for members with unsatisfactory immigration status, covering enrollment, billing, claims, and Treatment Authorization Requests. DHCS also announced a statewide PACE Strategic Growth Framework initiative, with stakeholder engagement expected through early 2028. Updated Medi-Cal doula enrollment requirements take effect December 3, 2026, requiring providers applying through the Experience Pathway to submit a recommendation letter from a Medi-Cal-enrolled community-based organization and proof of CPR certification.

What this may mean

Providers serving Medi-Cal members with unsatisfactory immigration status must be enrolled and operationally ready to bill fee-for-service by January 1, 2027, with the FFS Provider Toolkit outlining enrollment, revalidation, eligibility verification, and billing requirements. Doula providers seeking Medi-Cal reimbursement through the Experience Pathway face new enrollment requirements effective December 3, 2026. The PACE Strategic Growth Framework signals a coming state policy review of PACE program oversight and expansion criteria, with the framework expected in early 2028.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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