MedicaidAdministrativeMedium impact
23-441m Help Ensure Children Receive Regular Well-Child Visits in First 15 Months of Life
Health Net·CA · Pediatrics, Family Medicine, OB-GYN·Reimbursement
We identified it
Jun 20, 2026
Summary
Health Net California has launched a First Year of Life Program for infants 0-15 months to improve well-child visit compliance and HEDIS rates. The program provides clinical outreach, education, and care coordination at 2, 4, 6, 9, 12, and 15 month intervals to support families and reduce inappropriate ER visits.
Action Required
Immediately: Pediatric providers and billing teams should identify eligible patients (infants 0-15 months) and refer them to the First Year of Life Program by submitting Case Management Referral forms with 'First Year of Life Program' noted. Update patient tracking systems to monitor well-child visit schedules at 2, 4, 6, 9, 12, and 15 months to improve HEDIS compliance rates.