MedicaidAdministrativeMedium impact
23-1100m 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 has updated guidelines for submitting clean claims or encounters for pregnancy termination services to ensure proper payment processing. This affects providers in specific California counties and applies to both private services and Medi-Cal.
Action Required
Immediately: Billing team must download and review the Provider Update PDF from the HealthNet provider library to understand clean claim submission requirements for pregnancy termination services. Update billing workflows to follow the new guidelines to avoid payment processing delays.