California AB2565 mandates Medi-Cal coverage for pharmacist services and outlines enforcement actions for non-compliance.

California AB2565 amends the Welfare and Institutions Code to ensure Medi-Cal coverage explicitly includes pharmacist services. It mandates the Department of Health Care Services to take corrective actions, including sanctions, against non-compliant Medi-Cal managed care plans. The bill also requires the department to issue guidance clarifying plan obligations to cover these services, ensuring accountability at the delegated entity level and proper reflection in provider manuals and claims systems.

California AB2565 mandates Medi-Cal coverage for pharmacist services and outlines enforcement actions for non-compliance.

California AB2565 amends the Welfare and Institutions Code to ensure Medi-Cal coverage explicitly includes pharmacist services. It mandates the Department of Health Care Services to take corrective actions, including sanctions, against non-compliant Medi-Cal managed care plans. The bill also requires the department to issue guidance clarifying plan obligations to cover these services, ensuring accountability at the delegated entity level and proper reflection in provider manuals and claims systems.