MedicaidAdministrativeMedium impact
23-440m Help Ensure Children Receive Regular Well-Child Visits in First 15 Months of Life
Health Net·CA · Pediatrics, Family Medicine, OB-GYN·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net and CalViva Health launched a First Year of Life Program for infants 0-15 months in Fresno, Kings, and Madera counties. The program provides education and support to improve well-child visit compliance and HEDIS rates through proactive outreach at 2, 4, 6, 9, 12, and 15 month intervals.
Action Required
Immediately: Pediatric practices should identify eligible patients (infants 0-15 months without complex case management needs) and inform families about the First Year of Life Program. Update patient communication materials to include program information. Consider submitting Case Management Referral forms with 'First Year of Life Program' notation for appropriate patients to improve HEDIS performance and patient outcomes.