Medi-Cal Clinic Policy Letters
Clinic Policy Letters (CPLs) convey information, and/or interprets changes in policy or procedures at the federal or state levels and provides guidance to Federally Qualified Health Centers (FQHC)s and Rural Health Clinics (RHCs) as described in sections 1396(a)(2)(B) and 1396 (a)(2)(C) of Title 42 of the United State Code (USC) on how to implement changes on an operational basis.
In accordance with section (r) of Welfare & Institutions Code (WIC) 14132.100, the DHCS Director may, without taking regulatory action, pursuant to Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 or Title 2 of the Government Code, implement, interpret, or make specific this section by means of a provider bulletin or similar instruction. DHCS shall notify and consult with interested parties and appropriate stakeholders in implementing, interpreting, or making specific the provisions of this section, including all of the following:
Notifying provider representatives in writing of the proposed action or change. The notice shall occur, and the applicable draft provider bulletin or similar instruction, shall be made at least 10 days prior to the meeting as described above.
Scheduling at least one meeting with interested parties and appropriate stakeholder to discuss the proposed action or change.
Allowing for written input regarding the proposed action or change, to which the department shall provide summary written responses in conjunction with the issuance of the applicable final written provider bulletin or similar instruction.
Providing at least 60 days advance notice of the effective date of the proposed action or change.
Note: CPLs
were not issued prior to January 1, 2025. DHCS now issues guidance to FQHCs and RHCs exclusively through CPLs. If you have questions concerning a specific CPL or
require additional policy clarification, please email: FQHCBenefitsandRates@dhcs.ca.gov.
ListServ: ListServ subscription
This email service (ListServ) has been created so interested stakeholders, such as advocates, consumers, counties, legislative staff, providers, and state associations can receive relevant updates on CPLs for which stakeholder input is desired.