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DHCS's April State-Only PPS Notice Is Historical

Published: Deadline: CaliforniaMore from California

DHCS's current FQHC/RHC policy hub preserves the April 24 public notice and its first two addenda as historical implementation documents, then links a July 2 Third Addendum stating that SB 164 postponed the state-only PPS-to-non-PPS transition to July 1, 2027. The Third Addendum directs clinics to keep billing the fiscal intermediary and managed care plans under current requirements until further notice and says revised policy and implementation updates will follow.

Finance and revenue-cycle teams should therefore maintain current workflows, archive the April and June materials as historical baselines, and put a controlled decision gate around any 2027 configuration change. Neither the hub nor the addendum provides final clinic-specific rates, volumes, contract amendments, or revenue outcomes; remove generic 50–70% assumptions unless a clinic's own verified rate and service-mix analysis supports them.

Complete procedure, diagnosis, emergency-indicator, and other claim coding in HIPAA-compliant billing systems; keep all claim, member, immigration, diagnosis, and contract records outside FQHC Talent.

Part of

Key points

  • Treat the April and June notices as historical baselines; the July Third Addendum controls the current timeline and postpones implementation to July 1, 2027.
  • Continue current FI and managed-care billing until further DHCS notice; make no 2027 system change from proposal-era documents alone.
  • Model exposure from verified clinic rates, contracts, and aggregate service mix; DHCS has not published a universal percentage reduction or center-level loss.
  • Keep required service-level claim detail in approved HIPAA-compliant billing systems, never in FQHC Talent.

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Cite this analysis

FQHC Talent. (2026, April 24). DHCS's April State-Only PPS Notice Is Historical. Source: California Department of Health Care Services — current FQHC/RHC policy guidance. Retrieved September 28, 2026, from https://www.fqhctalent.com/intel/dhcs-fqhc-rhc-state-only-non-pps-formal-notice-april-24-2026

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