MedicaidReimbursementMedium impact
26-578m Early Pregnancy Confirmation Incentive
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Reimbursement
We identified it
Jun 20, 2026
Summary
HealthNet California is offering a $75 incentive for Primary Care Physicians participating in the 2026 HEDIS Improvement Program who confirm pregnancy during the first trimester or within 42 days of Medi-Cal enrollment for eligible members in Imperial County. Forms must be submitted by December 31, 2026 with payments issued semiannually.
Action Required
By December 31, 2026: Primary care providers participating in the 2026 HEDIS Improvement Program must download the Confirmation of Pregnancy Form from the Provider Library and submit complete forms with required signatures for each eligible Medi-Cal member whose pregnancy is confirmed in first trimester or within 42 days of enrollment. Clinical staff should identify eligible patients and ensure timely form completion to capture $75 per submission incentive payments.