MedicaidDocumentationMedium impact
21-039 Send Birth Event Clinical Records When Requested
Health Net·CA · OB-GYN, Pediatrics·Provider News
We identified it
Jun 20, 2026
Summary
Hospitals and ancillary providers in Fresno, Kings and Madera counties must now submit specific birth event clinical records within one business day when requested by Case Management. Required information includes newborn details like name, birth date/time, delivery type, weight, APGAR scores, and birth status.
Action Required
Within one business day of receiving a Case Management request: Submit complete birth event documentation including newborn's name, birth date/time, birth order if multiples, delivery type, age, gender, weight, APGAR scores (1 and 5 minute), and birth status via fax to 1-855-556-7909. Hospital billing teams should establish workflow to ensure rapid response to these requests to maintain compliance.