MedicaidAdministrativeMedium impact
26-722 Updates to Quality Incentive Pool and Directed Payment Programs
Health Net·CA·Reimbursement
Effective date
Jun 1, 2026
We identified it
Jun 20, 2026
Summary
Starting June 2026, Health Net and CalViva Health will collect and report Quality Incentive Pool (QIP) performance data on behalf of providers, replacing the current system where hospitals calculate and submit their own QIP performance rates. New dedicated contact emails have been established for various directed payment programs to streamline support and guidance.
Action Required
No immediate action required. Monitor for additional implementation details to be shared closer to June 2026. For current questions about directed payment programs, use the newly established dedicated contact emails for program-specific support instead of general contact methods.