MedicaidAdministrativeLow impact
24-648m Enhanced ACE_78A and ACE_78B Reports Incorporate Supplemental Adjustment Totals
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net enhanced the ACE_78A and ACE_78B reports to include Supplemental Adjustments (such as Professional Performance Program, Shared Risk Funding, and Utilization Management) in addition to capitation dollars. Participating Physician Groups will now receive supplemental financial totals for current month, retroactive months, and year-to-date on their monthly reports.
Action Required
No immediate action required. This is an informational update about enhanced reporting that will automatically appear on monthly ACE_78A and ACE_78B reports. Billing teams should review the new supplemental adjustment line items when reconciling monthly capitation reports and contact Community Health Plan of Imperial Valley at 833-236-4141 with any questions about the enhanced reporting.