CommercialReimbursementMedium impact
22-413m Complete Required Online Training to Receive Payments for Adverse Childhood Experiences (ACEs) Screenings
Health Net·CA·Reimbursement
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Health Net now reimburses providers for Adverse Childhood Experiences (ACEs) screenings using CPT codes 96160 and 96161, but providers must first complete mandatory online training and self-attest before being eligible for payment. Claims must include appropriate ICD-10 codes and specific documentation requirements.
Action Required
Before billing ACEs screenings: 1) Providers must complete the 'Becoming ACEs Aware in California' online training and submit ACEs Provider Training Attestation form, 2) Billing team must ensure claims use CPT codes 96160 or 96161 with appropriate ICD-10 codes (T and Z codes for child maltreatment), 3) Update documentation requirements to include screening tool used, date reviewed, results, interpretation, discussion with patient/family, and actions taken in medical record. Claims without completed training attestation will not be eligible for payment.