DHCS Targeted Rate Increase Provider Communications

Stay informed on the latest DHCS Targeted Rate Increase news.

Health Net

2025

• 25-1235 – Important Changes to TRI Guidelines May Affect Claims Payments – Health Net (PDF)
• 25-542 – TRI Fee-for-Service Payments Are Now Applied to New Claims – Health Net (PDF)
• 25-270 – DHCS Issues New Claim Payment Requirements for Family Planning Services – Health Net (PDF)
• 25-245 – Please Take This Survey on Targeted Rate Increase Payments – Health Net (PDF)

2024

• 24-1240 – Remember to Subtract 2024 Prop 56 Physician Services Payments from TRI Reconciliation Calculations – Health Net (PDF)
• 24-1178 – Sign and Return Your Mandated Targeted Rate Increase Attestation Form by December 1, 2024 – Health Net (PDF)
  • 24-1178b – Targeted Rate Increase (TRI) Sub-Capitated Compliance Attestation – Health Net (PDF)
  • 24-1178c – TRI Guiding Principles for Fee-for-Service and Capitation – Health Net (PDF)
• 24-1003 – Ensure You're Compliant with DHCS TRI Mandates by December 31, 2024. Sign and return your Readiness Attestation by October 15, 2024 – Health Net (PDF)
  • 24-1003a – Readiness Attestation – Health Net (PDF)
• 24-821 – Stay informed about the Medi-Cal Targeted Rate Increase (TRI) and changes to Prop 56 Physician Services payments – Health Net (PDF)
• 24-793 – Critical Reminders and DHCS Final APL 24-007 on Targeted Rate Increase – Health Net (PDF)
• 24-583 – Stay informed about the Medi-Cal Targeted Rate Increase (TRI) and changes to Prop 56 Physician Services payments – Health Net (PDF)
• 24-221 – DHCS Has Announced a Targeted Rate Increase for Select Medi-Cal Services – Health Net (PDF)

CalViva Health

2025

• 25-1236 – Important Changes to TRI Guidelines May Affect Claims Payments – CalViva Health (PDF)
• 25-543 – TRI Fee-for-Service Payments Are Now Applied to New Claims – CalViva Health (PDF)
• 25-271 – DHCS Issues New Claim Payment Requirements for Family Planning Services – CalViva Health (PDF)
• 25-246 – Please Take This Survey on Targeted Rate Increase Payments – CalViva Health (PDF)

2024

• 24-1241 – Remember to Subtract 2024 Prop 56 Physician Services Payments from TRI Reconciliation Calculations – CalViva Health (PDF)
• 24-1179 – Sign and Return Your Mandated Targeted Rate Increase Attestation Form by December 1, 2024 – CalViva Health (PDF)
  • 24-1179b – Targeted Rate Increase (TRI) Sub-Capitated Compliance Attestation – CalViva Health (PDF)
  • 24-1179c – TRI Guiding Principles for Fee-for-Service and Capitation – CalViva Health (PDF)
• 24-1004 – Ensure You're Compliant with DHCS TRI Mandates by December 31, 2024. Sign and return your Readiness Attestation by October 15, 2024 – CalViva Health (PDF)
  • 24-1004a – Readiness Attestation – CalViva Health (PDF)
• 24-822 – Stay informed about the Medi-Cal Targeted Rate Increase (TRI) and changes to Prop 56 Physician Services payments – CalViva Health (PDF)
• 24-794 – Critical Reminders and DHCS Final APL 24-007 on Targeted Rate Increase – CalViva Health (PDF)
• 24-584 – Stay informed about the Medi-Cal Targeted Rate Increase (TRI) and changes to Prop 56 Physician Services payments – CalViva Health (PDF)
• 24-222 – DHCS Has Announced a Targeted Rate Increase for Select Medi-Cal Services – CalViva Health (PDF)

Community Health Plan of Imperial Valley (CHPIV)

2025

• 25-1237 – Important Changes to TRI Guidelines May Affect Claims Payments – CHPIV (PDF)
• 25-544 – TRI Fee-for-Service Payments Are Now Applied to New Claims – CHPIV (PDF)
• 25-272 – DHCS Issues New Claim Payment Requirements for Family Planning Services – CHPIV (PDF)
• 25-247 – Please Take This Survey on Targeted Rate Increase Payments – CHPIV (PDF)

2024

• 24-1242 – Remember to Subtract 2024 Prop 56 Physician Services Payments from TRI Reconciliation Calculations – CHPIV (PDF)
• 24-1180 – Sign and Return Your Mandated Targeted Rate Increase Attestation Form by December 1, 2024 – CHPIV (PDF)
  • 24-1180b – Targeted Rate Increase (TRI) Sub-Capitated Compliance Attestation – CHPIV (PDF)
  • 24-1180c – TRI Guiding Principles for Fee-for-Service and Capitation – CHPIV (PDF)
• 24-1005 – Ensure You're Compliant with DHCS TRI Mandates by December 31, 2024. Sign and return your Readiness Attestation by October 15, 2024 – CHPIV (PDF)
  • 24-1005a – Readiness Attestation – CHPIV (PDF)
• 24-823 – Stay informed about the Medi-Cal Targeted Rate Increase (TRI) and changes to Prop 56 Physician Services payments – CHPIV (PDF)
• 24-795 – Critical Reminders and DHCS Final APL 24-007 on Targeted Rate Increase – CHPIV (PDF)
• 24-585 – Stay informed about the Medi-Cal Targeted Rate Increase (TRI) and changes to Prop 56 Physician Services payments – CHPIV (PDF)
• 24-223 – DHCS Has Announced a Targeted Rate Increase for Select Medi-Cal Services – CHPIV (PDF)