MedicaidAdministrativeMedium impact
25-978m Earn $75 for Early Pregnancy Confirmation
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net California is offering a $75 incentive payment to primary care physicians for each eligible Medi-Cal member whose pregnancy is confirmed in the first trimester or within 42 days of Medi-Cal enrollment. PCPs must complete and submit a specific Confirmation of Pregnancy form to receive the incentive, with payments processed semiannually through December 31, 2025.
Action Required
By December 31, 2025: Primary care providers should complete and submit the Confirmation of Pregnancy form for eligible Medi-Cal members whose pregnancy is confirmed in the first trimester or within 42 days of plan enrollment. Download the form from the Provider Library under Forms and References and fax completed forms according to submission instructions. Billing team should track submissions for the $75 semiannual incentive payments.