MedicaidDocumentationMedium impact
25-588m Accurate Diagnosis Code Placement for Prescriptions Related to Rape and Sexual Assault
Health Net·CA · Emergency Medicine, OB-GYN, Psychiatry +2 more·Coding
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Health Net Community Health Plan of Imperial Valley now requires visible ICD-10 diagnosis codes on all prescriptions for rape and sexual assault cases to support no-cost coverage effective July 1, 2025. Paper prescriptions must clearly show the diagnosis code, while electronic prescriptions require proper EMR placement per vendor specifications.
Action Required
Before July 1, 2025: Providers must ensure all prescriptions related to rape/sexual assault include visible ICD-10 diagnosis codes. For paper prescriptions, clearly write diagnosis codes on prescription forms. For electronic prescriptions, contact EMR vendor to configure proper diagnosis code placement. Review provider update 25-367 for specific diagnosis code table and coverage details.