DHCS's April State-Only PPS Notice Is Historical
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
- California's state-only Medi-Cal coverage
PPS reimbursement for state-only patients
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.
Sources for this story
California Department of Health Care Services — current FQHC/RHC policy guidanceSources for your board packet
This story's source plus 4 related stories and their sources, ready to print for your team or board.
Free. Unlocking the packet subscribes you to Intel Brief. You'll be subscribed right away, with no confirmation email. Unsubscribe with one click in any issue. If you unsubscribed before, we won't re-add you. We never sell your email. You can open each source above without an email.
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
More in Funding & Budget
Sep 24
HRSA extends funding for 272 health centers in the FY2027 Service Area Competition
Sep 21
Comments on CMS's provider-tax implementation rule closed September 21 with no extension; the final rule is the next step
Sep 18
40 states and Puerto Rico sign on to CMS's GENEROUS Medicaid drug-pricing model; the rest have until September 30
Sep 14
Johnson & Johnson requires claims data on every 340B dispense and extends its contract-pharmacy policy to grantees on November 3