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

Stakeholder News, October 12, 2026

Score 60PRIMARYregulatoryState MedicaidCA

Summary

California DHCS's October 12, 2026 stakeholder newsletter announces operational resources for the January 1, 2027 transition of Medi-Cal members with unsatisfactory immigration status from managed care to fee-for-service, including a provider FAQ, member FAQ, and updated provider-search tools. DHCS also announced a Behavioral Health Data Sharing Learning Collaborative beginning October 14 to support county behavioral health plan and managed care plan dyads in implementing real-time data sharing and adopting the ASCMI form by January 1, 2027, as required by BHIN 26-013 and APL 26-004. A public comment period on the draft Recuperative Care Pricing Resource closes October 16, and a January 1, 2027 effective date applies to a revised recuperative care service definition under In Lieu of Services authority.

What this may mean

County behavioral health plan and managed care plan dyads in California must implement real-time data sharing and adopt the ASCMI form by January 1, 2027 under BHIN 26-013 and APL 26-004, creating a firm compliance deadline with enforcement potential tied to those instruments. The revised recuperative care service definition and short-term post-hospitalization housing sunset take effect January 1, 2027, altering In Lieu of Services contracting and billing for affected managed care plans. Providers serving Medi-Cal members with unsatisfactory immigration status must prepare enrollment, billing, and claims processes for the managed care to fee-for-service transition by January 1, 2027.

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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