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Podiatry

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Hospitals
  • Ancillary

Counties Covered

  • Fresno
  • Kern  
  • Kings
  • Los Angeles
  • Madera
  • Sacramento
  • San Diego 
  • San Joaquin
  • Stanislaus
  • Tulare

If determined to be medically necessary by the member's participating physician group (PPG) or Health Net, podiatry services are covered for Medi-Cal members. Podiatry services are:

  • Limited to medical and surgical services necessary to treat disorders of the feet, ankles or tendons that insert into the foot; that are secondary to or complicated by chronic medical conditions; or that significantly impair the member's ability to walk
  • Subject to prior authorization for in-office testing and surgical procedures for members under age 21. Office visit limitations do not apply
  • Limited to a maximum of two services, among other services, such as chiropractic, speech therapy and occupational therapy, in any one calendar month unless authorization for additional services is obtained

Routine nail trimming is not covered, and emergency services do not require prior authorization. Medically necessary podiatry services for Medi-Cal members who are hospitalized or in a nursing facility are covered and require prior authorization. 

Last Updated: 01/30/2020