MedicaidDocumentationMedium impact
25-587m 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
Effective July 1, 2025, CalViva Health (Health Net) will require visible ICD-10 diagnosis codes on all prescriptions related to rape and sexual assault care. Paper prescriptions must show the diagnosis code clearly, while electronic prescriptions must follow EMR-specific placement requirements.
Action Required
By July 1, 2025: Providers must ensure all prescriptions for rape/sexual assault survivors include visible ICD-10 diagnosis codes. For paper prescriptions, clearly write the diagnosis code on the prescription. For electronic prescriptions, contact EMR vendor to verify correct diagnosis code placement in the system. Billing team should reference provider update 25-366 for specific diagnosis code table and coverage details.