MedicaidReimbursementMedium impact
20-552 Earn Incentives through the Prop 56 VBP Program
Health Net·CA · Family Medicine, Internal Medicine, Pediatrics +3 more·Pharmacy
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Summary
Health Net California's Prop 56 Value-Based Payment Program offers supplemental payments for qualifying services in prenatal/postpartum care, early childhood, chronic disease management, and behavioral health integration for Medi-Cal members in Fresno, Kings and Madera counties. Providers must submit W-9 forms with individual Type 1 NPIs to receive payments ranging from $25-$120 depending on service type and member risk status.
Action Required
Immediately: All providers serving Medi-Cal members in Fresno, Kings, and Madera counties must submit completed W-9 forms with individual Type 1 NPIs to HNCA_W9_Submissions@CENTENE.COM (subject: 'Prop 56 W9') or fax to 1-833-794-0423. Billing team must ensure all claims include individual Type 1 NPI in rendering, ordering, prescribing, or billing provider fields. Without proper NPI identification and W-9 on file, supplemental VBP payments cannot be issued.