MedicaidAdministrativeMedium impact
26-480m 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
Health Net California now requires all primary care providers to complete Initial Health Appointments (IHAs) for new members. These appointments must include health history review, risk identification, preventive care assessment, health education, and treatment planning according to specific policy guidelines.
Action Required
Immediately: Primary care providers must implement IHA protocols for all new members. Schedule comprehensive appointments that include health history review, risk assessment, preventive care evaluation, and health education. Refer to the IHA tip sheet for specific billing codes and requirements. Contact Health Net Provider Services at 800-675-6110 for questions about implementation.