MedicaidReimbursementMedium impact
20-481 Receive Prop 56 Payments for ACEs Screenings
Health Net·CA · Family Medicine, Internal Medicine, Pediatrics +1 more·Reimbursement
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
Health Net Medi-Cal now provides directed payments for ACEs (Adverse Childhood Experiences) screenings using standardized tools, with reimbursement of $29 for both positive and negative screening results. Providers must complete mandatory training and submit attestation by June 30, 2020 to qualify for payments starting January 1, 2020.
Action Required
By June 30, 2020: Providers must complete mandatory trauma-informed care training on ACEs screening and submit self-attestation through DHCS website. Billing team must update systems to bill HCPCS G9919 ($29) for positive ACEs screenings (score 4+) and G9920 ($29) for negative screenings (score 0-3). Use appropriate screening tools: PEARLS for ages 0-17, ACEs or PEARLS for ages 18-19, ACEs for ages 20-64. Document screening tool used, results, interpretation, and actions taken in medical record. Submit claims within one year of service date.