Medi-Cal to include coverage of pharmacist services and mandates guidance for managed care plans.

California AB2565 amends Medi-Cal to explicitly include coverage of pharmacist services as defined in Section 14132.968. The bill requires the Department of Health Care Services to issue guidance to Medi-Cal managed care plans on their obligations to cover these services. This guidance must include requirements for timely reimbursement, accountability for coverage, and clear reflection in provider manuals and claims processing systems. If a managed care plan fails to comply, the department can take corrective actions, including sanctions.

Medi-Cal to include coverage of pharmacist services and mandates guidance for managed care plans.

California AB2565 amends Medi-Cal to explicitly include coverage of pharmacist services as defined in Section 14132.968. The bill requires the Department of Health Care Services to issue guidance to Medi-Cal managed care plans on their obligations to cover these services. This guidance must include requirements for timely reimbursement, accountability for coverage, and clear reflection in provider manuals and claims processing systems. If a managed care plan fails to comply, the department can take corrective actions, including sanctions.