MedicaidDocumentationMedium impact
22-061 Updates to Screening, Brief Intervention and Referral to Treatment Services Requirements
Health Net·CA · Family Medicine, Internal Medicine, Pediatrics +2 more·Pharmacy
We identified it
Jun 20, 2026
Summary
New requirements for Screening, Brief Intervention and Referral to Treatment (SABIRT) services for Medi-Cal members ages 11+ in Fresno, Kings and Madera counties. Providers must use validated screening tools, document services properly, and can bill for at least one screening per year plus up to three behavioral counseling sessions.
Action Required
Immediately: Billing team must ensure providers document SABIRT services with specific screening tool names and scores in medical records. Update EMR templates to include required documentation fields: service provided, screening instrument name/score, assessment instrument name/score, and referral information. Train providers on validated screening tools (AUDIT, CRAFFT, CAGE-AID, etc.) and billing allowances for annual screenings plus up to 3 counseling sessions per year.