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Health NetMedicaid · Documentation · Prior Authorization · CA · Family Medicine, Internal Medicine, General Practice +1 moreMedium impact

20-298 Complete the IHA within 120 Days to Help Manage Your Patient’s Health Care Needs

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

Summary

CalViva Health (Medi-Cal) requires Initial Health Assessments (IHA) to be completed within 120 days for all newly enrolled members in Fresno, Kings, and Madera counties. Specific billing codes are provided for IHA services and Staying Healthy Assessment forms, with detailed documentation requirements and exceptions processes.

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What to do

immediately · 3 steps
01Billing team must ensure IHA services for new CalViva Health Medi-Cal members are billed using appropriate codes (99202-99205, 99211-99215, 99381-99387, 99391-99397, 99461, G0438, G0439) and bill Staying Healthy Assessment using code 96156.
02Providers must complete IHA within 120 days of member enrollment and document all exceptions in medical records.
03Access monthly 120-Day Initial Health Assessment Reports online to identify members needing IHA.

Codes mentioned

992029920399204992059921199212992139921499215993819938299383993849938599386993879939199392993939939499395993969939799461G0438G043996156

Original notice

20-298 Complete the IHA within 120 Days to Help Manage Your Patient’s Health Care Needs
providerlibrary.healthnetcalifornia.com · Always check the source before changing claims.
View original ↗

Related changes

See all Health Net changes →
20-297 Complete the IHA within 120 Days to Help Manage Your Patient’s Health Care NeedsMediumNo effective date · Prior Authorization20-178 Patient Assessment Form No Longer Needed to Get IncentiveMediumNo effective date · Reimbursement20-026 Prop 56 Rates Extended for SFY 2019-2021MediumEffective Jul 1, 2019 · Reimbursement20-028 Prop 56 Rates Extended for SFY 2019-2021MediumEffective Jul 1, 2019 · ReimbursementBrowse every Health Net change in the policy list

Related policy hubs

Health Net policiesCA policy changesFamily MedicineInternal MedicineGeneral PracticePediatricsCode 99202Code 99203Code 99204Code 99205Code 99211Code 99212Code 99213Code 99214Code 99215Code 99381Code 99382Code 99383Code 99384Code 99385Code 99386Code 99387Code 99391Code 99392Code 99393Code 99394Code 99395Code 99396Code 99397Code 99461Code G0438Code G0439Code 96156

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