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MedicaidReimbursementMedium impact

20-321 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
Days to comply

Summary

Health Net now offers Prop 56 payments of $29.00 for ACEs (Adverse Childhood Experiences) screenings using HCPCS codes G9919 and G9920 for Medi-Cal members in specific California counties. Providers must complete mandatory training and submit attestation by July 1, 2020 to qualify for payments effective January 1, 2020.

Action Required

Action needed
By July 1, 2020: Providers must complete trauma-informed care training at www.acesaware.org and submit self-attestation to DHCS. Billing team must update system to bill HCPCS G9919 (score 4+ for high risk) or G9920 (score 0-3 for lower risk) for ACEs screenings. Document screening tool used, results, interpretation, discussion with member/family, and actions taken in medical record. Submit claims within one year of service date.

Affected Billing Codes

G9919
G9920