MedicaidDocumentationMedium impact
21-794 Submit Social Determinants of Health Data on Your Claims or Encounters
Health Net·CA·Coding
We identified it
Jun 20, 2026
Summary
Health Net now requires providers in 9 California counties to submit Social Determinants of Health (SDOH) data using 18 specific ICD-10-CM Z-codes on Medi-Cal claims and encounters. This supports the CalAIM Population Health Management initiative to improve health equity and identify health disparities.
Action Required
Immediately: Providers in Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties must begin documenting and submitting the 18 priority SDOH Z-codes on Medi-Cal claims and encounters when applicable to patients. Update EMR templates to include SDOH screening questions and ensure billing team is trained to submit these ICD-10-CM codes with appropriate claims.