MedicaidAdministrativeMedium impact
26-482m Complete Initial Health Appointments for New Members
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Reimbursement
We identified it
Jun 20, 2026
Summary
Healthcare providers must now complete Initial Health Appointments (IHAs) for all new primary care members, including comprehensive health history reviews, risk assessments, and preventive care planning. This policy establishes mandatory requirements for baseline care establishment and early health risk identification.
Action Required
Immediately: Primary care providers must implement IHA protocols for all new members including physical/mental health history review, risk identification, preventive care assessment, health education, and treatment planning. Refer to IHA tip sheet for specific billing codes and requirements. Contact Community Health Plan at 833-236-4141 for questions. Update intake workflows to ensure compliance with Population Health Management Policy Guide.