MedicaidReimbursementMedium impact
20-319 Receive Prop 56 Payments for ACEs Screenings
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Reimbursement
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
Health Net now offers $29 Prop 56 payments for ACEs (Adverse Childhood Experiences) trauma screenings using specific HCPCS codes G9919 and G9920 for Medi-Cal patients in Fresno, Kings and Madera counties. Providers must complete mandatory trauma-informed care training and submit attestation by July 1, 2020 to qualify for these directed payments.
Action Required
By July 1, 2020: Providers must complete DHCS trauma-informed care training at www.acesaware.org and submit self-attestation. Billing team must update system to bill HCPCS G9919 ($29) for ACEs scores 4+ or G9920 ($29) for scores 0-3, limited to once per 12 months for patients under 21 and once per lifetime for ages 21-64. Document screening tool used, results, interpretation, and member discussion in medical record. Submit claims to Health Net within one year of service date.