MedicaidAdministrativeMedium impact
23-1102m Submit Clean Claims or Encounters to Receive Payment for Pregnancy Termination Services
Health Net·CA · OB-GYN, Family Medicine·Reimbursement
Effective date
Sep 27, 2023
We identified it
Jun 20, 2026
Summary
HealthNet California requires providers to submit clean claims or encounters to receive payment for pregnancy termination services in Medi-Cal programs. This policy provides guidelines to avoid processing delays for private services in Fresno, Kings, and Madera counties.
Action Required
Immediately: Billing team must review and follow HealthNet's clean claim submission guidelines for pregnancy termination services in Fresno, Kings, and Madera counties. Download the Provider Update PDF from the HealthNet provider library and implement the specified guidelines to avoid payment processing delays for Medi-Cal encounters.