CDPH AFL 26-34 (dated November 9): CDPH says it will send Medi-Cal revalidation intent letters to facilities beginning November 9; no response within 35 calendar days means termination from Medi-Cal
Published November 8, 2026 · Coverage November 1–7, 2026, Pacific · High priority
CDPH's All Facilities Letter (AFL) 26-34 is dated November 9, 2026, after this edition's window. It says that beginning November 9, 2026 its License Renewal and Certification Branch will send Medi-Cal revalidation intent letters to each health care facility's physical address and mailing address (if different), based on the current information in CDPH's system of record, asking enrolled providers to revalidate their enrollment or voluntarily withdraw. The letter states that failure to respond to the intent letter within 35 calendar days will result in termination and deactivation from the Medi-Cal program, and cites Title 22 California Code of Regulations section 51000.55(c). After a facility confirms it intends to continue, the branch emails instructions to the licensee's primary contact and the facility administrator at the addresses on file with CDPH. The letter cites the federal requirement that a State Medicaid agency revalidate every provider at least every five years. The letter itself was read on November 10, 2026.
Background
Medi-Cal revalidation is the process in which a provider resubmits and recertifies the accuracy of its Medi-Cal enrollment information, and providers must revalidate to keep their Medi-Cal billing privileges. The letter cites 42 CFR 455.414, under which the State Medicaid agency must revalidate the enrollment of all providers at least every five years, and says DHCS, along with CDPH, is responsible for overseeing revalidation for providers enrolled in Medi-Cal.
Who this affects
All CDPH-licensed health facilities enrolled in Medi-Cal
Why it matters
The AFL does not say whether the 35 days count from the intent letter's date or from its receipt. Inference, for planning only: if the 35 days are counted from the date on the intent letter, a letter dated November 9, 2026 would call for a response by December 14, 2026. The AFL does not say when the count starts, and a facility's letter may carry a later date. Inference: an intent letter that is not routed to the person responsible for Medi-Cal enrollment could go unanswered for 35 calendar days, which the AFL says results in termination and deactivation from Medi-Cal. The AFL says instructions are emailed using the licensee's primary contact and facility administrator email addresses reported to CDPH's Centralized Applications Branch.
Required actions
- A provider that receives a CDPH Medi-Cal revalidation intent letter: respond within 35 calendar days, by confirming intent to revalidate or by withdrawing. The AFL does not say when the count starts; as a planning assumption, count from the date on the intent letter. The letter says no response results in termination and deactivation from Medi-Cal.
Recommended action
- Tell mailrooms and administrators at every licensed facility address to route any CDPH intent letter to the Medi-Cal enrollment owner the day it arrives.
- Confirm the licensee primary contact and facility administrator email addresses, and the mailing address, in CDPH's system of record. The AFL says an email address is updated by an email request from the administrator or the licensee's primary contact, and a mailing address by a Change of Mailing Address application packet to the Centralized Applications Branch.
- Assemble the revalidation application packet in advance, using the CDPH Medi-Cal Revalidation page the letter points to.
Implementation playbook
- Brief mailrooms, administrators and the enrollment owner, and set same-day routing for any CDPH intent letter. Owner: Facility Administration. Due: 2026-11-13.
- Confirm or correct the contact emails and mailing address CDPH holds for each licensed facility. Owner: Provider Enrollment. Due: 2026-11-17.
- On receipt of an intent letter, respond to CDPH. Owner: Provider Enrollment. Due: within 35 calendar days, counted from the date on the intent letter (the 35 days are CDPH's; counting from the letter's date is a planning assumption, since the AFL does not say when the count starts).
- Prepare the revalidation application packet so it can be submitted complete when CDPH sends instructions. Owner: Provider Enrollment and Compliance. Due: 2026-11-30.
Scope and timing
- Authority status
- Guidance (All Facilities Letter citing 42 CFR 455.414 and Title 22 California Code of Regulations section 51000.55)
- Responsible owner
- Revenue Cycle (provider enrollment); Compliance; Facility Administration
- Compliance date
- Response to each facility's intent letter due within 35 calendar days; the letter does not say when the count starts
- Implementation date
- 2026-11-09 (CDPH says intent letters are sent beginning this date)
- Other dates
- Letter dated 2026-11-09
Not established
Whether DHCS issued a companion notice was not checked. The schedule on which CDPH will mail letters to particular facility types is not stated in the letter. The revalidation page and application forms were not opened.
Sources
Complete edition and supplemental material
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