MedicaidAdministrativeMedium impact
25-976m 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 CalViva Health is offering a $75 incentive payment to primary care physicians for each Medi-Cal member whose pregnancy is confirmed early (first trimester or within 42 days of enrollment). PCPs must complete and submit a Confirmation of Pregnancy form by December 31, 2025 to receive the incentive.
Action Required
By December 31, 2025: Primary care providers participating in the HEDIS Improvement Program should download the Confirmation of Pregnancy Form from the Health Net Provider Library and submit completed forms for eligible Medi-Cal members with early pregnancy confirmation. Billing team should track form submissions to ensure $75 incentive payments are received semiannually.