MedicaidReimbursementMedium impact
20-407 Use These Guidelines to Improve Trauma-Informed Care for Patients with ACEs
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Reimbursement
Effective date
Jul 1, 2020
We identified it
Jun 20, 2026
Summary
Health Net Medi-Cal introduces new reimbursement guidelines for trauma-informed care and ACEs screening with specific billing codes G9919 and G9920, both paying $29.00. Providers must complete mandatory training and submit attestation to receive payments for ACEs screenings performed after June 30, 2020.
Action Required
Providers must complete mandatory trauma-informed care training including PEARLS tool and ACEs questionnaire usage, then submit attestation to Health Net to receive payments for ACEs screenings. Billing team must use HCPCS G9919 for positive screening results (score 4+) and G9920 for negative results (score 0-3), both reimbursed at $29.00. Submit claims to Health Net within one year of service date. Frequency limits: once per 12 months for patients under 21, once per lifetime for patients 21-65.