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MedicaidReimbursementMedium impact

24-1162m Complete Mandatory Training, Get Prop 56 Payments

Health Net·CA · Family Medicine, Internal Medicine, Pediatrics +1 more·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net now provides $29 payments for ACEs (Adverse Childhood Experiences) screenings using HCPCS codes G9919 and G9920, but providers must complete mandatory trauma-informed care training first. Payments are limited to once per 12 months for patients under 21 and once per lifetime for adults 21-64.

Action Required

Action needed
Immediately: Providers must register for and complete ACEs trauma-informed care training at ACEs Aware learning center, then self-attest completion on DHCS website. Billing team must update system to use HCPCS G9919 ($29 for scores 4+) or G9920 ($29 for scores 0-3) for ACEs screenings. Add frequency limits: once per 12 months for under 21, once per lifetime for ages 21-64. Document screening tool used, results, and actions taken in medical record.

Affected Billing Codes

G9919
G9920