MedicaidReimbursementMedium impact
23-039 Initial Health Assessment Incentive in 2023 Applies to Physicians and Clinics Only
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Reimbursement
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Health Net clarified that the 2023 Initial Health Assessment (IHA) incentive program applies only to individual physicians and clinics, not participating physician groups (PPGs). The policy also eliminates requirements for IHEBA and SHA forms, renames the assessment to Initial Health Appointment, and introduces incentive payments for completing IHAs within 120 days for new Medi-Cal members.
Action Required
Immediately: Billing team should prepare to track and bill for Initial Health Appointment (IHA) services for new Medi-Cal members within 120 days of enrollment to qualify for upcoming incentive payments. Stop using IHEBA and SHA forms. Help patients complete Health Information Forms (HIF) during IHA visits and send completed forms to Medi-Cal Care Management at 4191 E. Commerce Way, Sacramento, CA 95834. Monitor for rate information expected in early 2023.