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MedicaidReimbursementMedium impact

25-499 New Billing Guidelines for Immediate Postpartum Contraception Services Under Medi-Cal

Health Net·CA · OB-GYN·Reimbursement
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Starting January 1, 2025, California Assembly Bill 2129 allows healthcare providers to separately bill for IUDs, contraceptive implants, and related services provided immediately after childbirth under Medi-Cal coverage. These contraceptive devices and services can no longer be considered part of general obstetric procedure payments.

Action Required

Action needed
By January 1, 2025: Billing team must update Medi-Cal billing procedures to separately bill for immediate postpartum contraception devices (IUDs, implants) and related services instead of bundling them with general obstetric procedures. Update billing system rules and train staff on new separate billing requirements. Contact Health Net Provider Services at 800-675-6110 for questions. This applies to births in general acute care hospitals or licensed birth centers in specified California counties.