DHCS Posts Draft Clinic Policy Letter for State-Only FQHC/RHC Services, Stakeholder Webinar June 17, Rules Take Effect July 1
Historical implementation record: on June 3, 2026, DHCS posted a draft Clinic Policy Letter (a Second Addendum on its FQHC/RHC page) that would have operationalized the July 1 shift away from Prospective Payment System (PPS) reimbursement for State-Only / Undocumented Immigrant Services (UIS) delivered by FQHCs and RHCs to Medi-Cal Managed Care Plan members.
Signed-budget override: the June 29 enacted budget later delayed the major UIS/PPS clinic-payment cut to July 1, 2027, so this CPL should be read as proposal-stage billing-rule context pending updated DHCS implementation guidance. FQHC CFOs, billing leads, and compliance officers should preserve their per-encounter revenue-delta modeling, but the live planning horizon is now July 1, 2027 rather than July 1, 2026.
Part of
- California's state-only Medi-Cal coverage
PPS reimbursement for state-only patients
Key points
- The draft Clinic Policy Letter (posted June 3) is historical proposal-stage billing-rule context; the signed budget later moved the major UIS/PPS cut to July 1, 2027.
- Stakeholder webinar June 17 was the proposal-stage comment window, not the last live step before a July 2026 PPS cut.
- Action: preserve the draft-CPL revenue modeling, then refresh it against final DHCS guidance for the July 1, 2027 planning horizon.
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FQHC Talent. (2026, June 3). DHCS Posts Draft Clinic Policy Letter for State-Only FQHC/RHC Services, Stakeholder Webinar June 17, Rules Take Effect July 1. Source: California DHCS. Retrieved September 28, 2026, from https://www.fqhctalent.com/intel/ca-dhcs-draft-clinic-policy-letter-state-only-june-2026
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