MedicaidReimbursementMedium impact
26-577m Early Pregnancy Confirmation Incentive
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Reimbursement
We identified it
Jun 20, 2026
Summary
CalViva Health is offering a new $75 incentive for primary care physicians who confirm pregnancy early in Medi-Cal members during the first trimester or within 42 days of enrollment. PCPs must submit a complete Confirmation of Pregnancy Form by December 31, 2026 to receive semiannual payments.
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 completed forms for eligible Medi-Cal members whose pregnancy is confirmed in first trimester or within 42 days of enrollment. Forms must include required signatures and be submitted on time to receive $75 per eligible member.