MedicaidReimbursementMedium impact
26-576m Early Pregnancy Confirmation Incentive
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Reimbursement
We identified it
Jun 20, 2026
Summary
Health Net California introduces a new $75 incentive for primary care physicians who confirm pregnancy early (first trimester or within 42 days of Medi-Cal enrollment) for eligible members. PCPs must submit a complete Confirmation of Pregnancy Form by December 31, 2026 to receive semi-annual payments.
Action Required
By December 31, 2026: Primary care providers in participating California counties must submit complete Confirmation of Pregnancy Forms for eligible Medi-Cal members whose pregnancy is confirmed in first trimester or within 42 days of enrollment. Download forms from Health Net Provider Library under Forms and References. Billing team should track eligible pregnancy confirmations and ensure timely form submission to capture $75 per eligible member incentive payments issued semi-annually.