California Department of Health Care Services policy updates
Track new and updated California Department of Health Care Services policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Behavioral Health Services Act fund allocations and governance | California Department Of Health Care Services | Administrative | — | Modified | Jul 1, 2028 |
| Community-Based Mobile Crisis Response Services | California Department Of Health Care Services | Clinical | Psychiatry/Behavioral Health | Modified | Apr 1, 2027 |
| CalAIM Renewal and 2027 Trailer Bill Provisions | California Department Of Health Care Services | Administrative | — | Modified | Jan 1, 2027 |
| Medi‑Cal eligibility redetermination and community engagement requirements | California Department Of Health Care Services | Administrative | — | Modified | Jan 1, 2027 |
| Reinstate Medi-Cal Asset Limit (Proposed Trailer Bill Amendments) | California Department Of Health Care Services | Administrative | — | Modified | Jan 1, 2027 |
| BH-CONNECT Section 1115 Demonstration (Extent and Scope) | California Department Of Health Care Services | Administrative | — | Modified | Jan 1, 2025 |
| Managed Care Organization (MCO) Provider Tax (Proposed Article 7.2) | California Department Of Health Care Services | Administrative | — | Modified | Jan 1, 2025 |
| Durable Medical Equipment (DME): Other DME Equipment | California Department Of Health Care Services | Reimbursement | — | Modified | Mar 1, 2023 |
| Guidance on Qualifying Community-Based Mobile Crisis Intervention Services and Enhanced FMAP | California Department Of Health Care Services | Administrative | — | Modified | Apr 1, 2022 |
| Medi‑Cal managed care plan medical loss ratio (MLR) and remittance handling | California Department Of Health Care Services | Administrative | — | Modified | Jul 1, 2019 |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.