MedicaidDocumentationMedium impact
23-1190 Reminder: List Social Determinants of Health Data on Claims or Encounters
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net Medi-Cal is reminding providers to include Social Determinants of Health (SDOH) data using specific ICD-10-CM Z-codes on claims and encounters. This supports the CalAIM Population Health Management initiative to identify member health, social, and risk needs for better care coordination.
Action Required
Immediately: Providers should assess patients for social determinants of health and document using the 18 specified DHCS priority SDOH Z-codes when applicable. Billing team must ensure these codes are included on Medi-Cal claims and encounters when documented by providers. Update encounter forms or EMR templates to include SDOH screening reminders for providers.