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MedicaidReimbursementMedium impact

25-977m Earn $75 for Early Pregnancy Confirmation

Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net is offering a new $75 incentive for primary care physicians who confirm pregnancy in the first trimester or within 42 days of Medi-Cal enrollment. PCPs must complete and submit a specific Confirmation of Pregnancy form by December 31, 2025 to receive semiannual payments.

Action Required

Action needed
By December 31, 2025: Primary care providers must download the Confirmation of Pregnancy Form from Health Net's Provider Library and submit completed forms via fax for eligible Medi-Cal members whose pregnancy is confirmed in first trimester or within 42 days of enrollment. Billing team should track form submissions to ensure $75 incentive payments are received semiannually.