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Health NetMedicaid · Billing Codes · Reimbursement · CA · Family Medicine, Internal Medicine, Pediatrics +1 moreMedium impact

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

Act
immediately
Effective date
Not stated in the notice
Identified
Jun 20, 2026

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.

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What to do

immediately · 5 steps
01Billing team must ensure providers complete mandatory trauma-informed care training and submit attestation to receive payments for ACEs screening after June 30, 2020.
02Update billing system to use HCPCS G9919 ($29) for high-risk scores (4+) and G9920 ($29) for lower-risk scores (0-3).
03Configure frequency limits: once per 12 months for patients under 21, once per lifetime for patients 21-65.
04Submit all claims to Health Net on behalf of CalViva Health within one year of service date.
05Without training attestation, ACEs screening payments will be denied.

Codes mentioned

G9919G9920

Original notice

20-408 Use These Guidelines to Improve Trauma-Informed Care for Patients with ACEs
providerlibrary.healthnetcalifornia.com · Always check the source before changing claims.
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Related changes

See all Health Net changes →
20-319 Receive Prop 56 Payments for ACEs ScreeningsMediumEffective Jan 1, 2020 · Reimbursement20-321 Receive Prop 56 Payments for ACEs ScreeningsMediumEffective Jan 1, 2020 · Reimbursement20-407 Use These Guidelines to Improve Trauma-Informed Care for Patients with ACEsMediumEffective Jul 1, 2020 · Reimbursement20-481 Receive Prop 56 Payments for ACEs ScreeningsMediumEffective Jan 1, 2020 · ReimbursementBrowse every Health Net change in the policy list

Related policy hubs

Health Net policiesCA policy changesFamily MedicineInternal MedicinePediatricsGeneral PracticeCode G9919Code G9920

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