MedicaidAdministrativeMedium impact
26-481m 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
CalViva Health now requires Initial Health Appointments (IHAs) for all new primary care members in Fresno, Kings, and Madera counties. These comprehensive appointments must include health history review, risk assessment, preventive care planning, and health education to establish baseline care for new Medi-Cal members.
Action Required
Immediately: Primary care providers must schedule and complete Initial Health Appointments for all new CalViva Health Medi-Cal members. Review the IHA tip sheet PDF for specific billing codes and requirements. Ensure appointments include all required components: health history review, risk identification, preventive care assessment, health education, and treatment planning. Contact CalViva Health at 888-893-1569 for questions about IHA requirements and billing procedures.