MedicaidBilling CodesMedium impact

24-404m Updated Service Codes for IHA

Q: Who is affected by this change?

This affects Health Net Family Medicine, Internal Medicine, General Practice, Pediatrics providers in CA on Medicaid plans.

Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Provider News

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

CalViva Health has updated service codes for Initial Health Appointments (IHA) for new members in Fresno, Kings, and Madera counties. A new tip sheet with updated billing codes and requirements is now available in the Provider Library.

Action Required

Action needed

Immediately: Access the Provider Library under Education, Training and Other Materials section to download the updated IHA tip sheet. Review the new service codes and billing requirements for CalViva Health initial health appointments. Update encounter forms and billing procedures to reflect the new codes and documentation requirements.

Related policy hubs

Health Net policies CA policy changes Family Medicine Internal Medicine General Practice Pediatrics