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MedicaidBilling CodesMedium impact

20-408 Use These Guidelines to Improve Trauma-Informed Care for Patients with ACEs

Health Net·CA · Family Medicine, Internal Medicine, Pediatrics +1 more·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

CalViva Health has issued new guidelines for trauma-informed care and ACEs (Adverse Childhood Experiences) screening for Medi-Cal patients in Fresno, Kings and Madera counties. Providers can bill $29 using HCPCS codes G9919 (high risk score 4+) or G9920 (lower risk score 0-3) for ACEs screenings, with specific frequency limitations and mandatory training requirements for payment after June 30, 2020.

Action Required

Action needed
Immediately: Billing team must ensure providers complete mandatory trauma-informed care training and submit attestation to receive payments for ACEs screening after June 30, 2020. Update billing system to use HCPCS G9919 ($29) for high-risk scores (4+) and G9920 ($29) for lower-risk scores (0-3). Configure frequency limits: once per 12 months for patients under 21, once per lifetime for patients 21-65. Submit all claims to Health Net on behalf of CalViva Health within one year of service date. Without training attestation, ACEs screening payments will be denied.

Affected Billing Codes

G9919
G9920
20-408 Use These Guidelines to Improve Trauma-Informed Care for Patients with ACEs | Health Net | PolicyChanges.app