26-441 Provider Communications Posted Online and Operations Manual Updates for March 2026
Date: 04/07/26
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The tables below outline provider communications posted online and operations manual changes made in March 2026.
- Communications posted online: Includes the posting date, material number and title, type of communication, applicable audience and counties, and a summary of the communication.
- Medi-Cal Provider Operations Manual changes: Includes the effective date of the change, document name (and path to section where document is located), audience, URL, and a summary of the change.
Communications posted online in March 2026
Date, number and title | Type of notice | Audience | Medi-Cal counties | Summary |
|---|---|---|---|---|
3/2/26 26-192m (PDF), Stay Informed About Quality Goals and Activities to Improve Members’ Health | News & Announcements | Physicians/ PPGs Hospitals Ancillary ECM CS Behavioral Health | Fresno Kings Madera | Learn what progress has been made and what still needs improvement based on 2025 Healthcare Effectiveness Data and Information Set (HEDIS®) quality performance results.
|
3/11/26 26-285m (PDF), Act Now: Keep Your Provider Demographic Information Accessible to Members | Regulatory | Physicians/ PPGs Hospitals Ancillary ECM CS Behavioral Health | Fresno Kings Madera | Reminder: Find out how to keep your information current to avoid removal from the provider directory.
|
3/11/26 26-281m, New State-Mandated Chaperone Requirements for Sensitive Ultrasound Exams Start January 1, 2027 | Regulatory | Physicians/ PPGs Hospitals Ancillary ECM CS
| Fresno Kings Madera | Review and be prepared for notification, training and documentation procedures tied to new state-mandated medical chaperone notification requirements for sensitive ultrasound examinations that go into effect January 1, 2027. |
3/20/26 26-357m, Updates to Clinical Policies – February 2026 | Contractual | Physicians/ PPGs Behavioral Health
| Fresno Kings Madera | Review changes to medical policies for procedures and services for February 2026. Medical policies are available online. Medical policies offer guidelines for determining medical necessity for certain procedures, equipment and services. As a reminder, all services must be medically necessary, and member benefits, legal and regulatory mandates take precedence over content of medical policies and must be applied first. |
3/23/26 26-268m (PDF), Enhancing Patient Experience Through Timely Access | News & Announcements | Physicians/ PPGs Hospitals Ancillary ECM CS Behavioral Health | Fresno Kings Madera | Help guarantee timely access to care and improve overall patient experience by following these standards for patient appointments. |
3/24/26 26-376m, Respite Services Authorization Form Updated | Contractual | CS | Fresno Kings Madera | The Respite Services Authorization Form has been updated to include required billing codes. Find the updated form on the CalAIM Resources for Providers page, or access it through the online communication. |
Medi-Cal Provider Operations Manual changes in March 2026
Effective Date | Document name (and path) | Audience | Summary |
|---|---|---|---|
3/10/26
| Therapeutic Injections and Other Injectable Substances (under Benefits > Injectables) | Physicians/ Practitioners PPGs Hospitals Ancillary | The Injectable Medication HCPCS/DOFR Crosswalk was updated for the fourth quarter of 2025.
|
3/5/26 |
(under Benefits) | Physician/ Practitioners PPGs Hospitals Ancillary | Document updated to clarify that PPGs and providers must submit a referral with complete hospice documentation to Health Net within 5 calendar days when Health Net is at financial risk for hospice services. |
3/24/26 | Palliative and Hospice Care Contracted Provider List (PDF) (under Forms & References) | Physicians/ Practitioners PPGs Hospitals Ancillary | The Palliative Care Contracted Provider List has been renamed the Palliative and Hospice Care Contract Provider List. The list was also updated and separated into two groups – preferred and secondary. Fax numbers, provider websites and a column noting if hospice care is offered are now included. |
This information applies to Physicians, Practitioners, Participating Physician Groups (PPGs), Hospitals, Ancillary Providers, Community Supports (CS) Providers, Enhanced Care Management (ECM) Providers, and Behavioral Health Providers.
This information applies to Medi-Cal in Fresno, Kings and Madera counties.