MedicaidDocumentationMedium impact
20-297 Complete the IHA within 120 Days to Help Manage Your Patient’s Health Care Needs
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net requires Initial Health Assessments (IHA) to be completed within 120 days for all newly enrolled Medi-Cal members in specified California counties. Providers must use specific billing codes for the patient visit (99202-99215, 99381-99387, 99391-99397, 99461, G0438, G0439) and SHA assessment (96156), with documentation requirements for any exceptions.
Action Required
Immediately: Billing team must ensure proper coding for Medi-Cal IHA visits using specified CPT codes (99202-99215 for visits, 96156 for SHA assessment). Front desk staff should schedule IHA appointments within 120 days of member enrollment and document all outreach attempts and exceptions in medical records. Providers must complete age-appropriate Staying Healthy Assessment forms and maintain documentation for audit compliance.