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20-178 Patient Assessment Form No Longer Needed to Get Incentive

Health Net·CA · Family Medicine, Internal Medicine, General Practice·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

CommunityCare participating physician groups (PPGs) no longer need to submit Patient Assessment Forms for the Medical Loss Ratio Incentive Program. Health Net will now calculate incentives automatically based on paid claims from annual wellness visits using specific CPT codes and ICD-10 diagnosis codes.

Action Required

Action needed
Immediately: Stop submitting Patient Assessment Forms for CommunityCare MLR Incentive Program. Ensure annual wellness visits are coded with qualifying CPT codes (9938X, 9939X series or 99213-99215, 99203-99205) along with lipids panel (80061) and appropriate ICD-10 diagnosis codes (Z00.00, Z00.5, etc.). Verify claims are submitted properly to automatically qualify for incentives.

Affected Billing Codes

99381
99382
99383
99384
99385
99386
99387
99391
99392
99393
99394
99395
99396
99397
99213
99214
99215
99203
99204
99205
80061
Z00.00
Z00.5
Z00.6
Z00.8
Z02.1
Z02.3
Z02.81
Z02.83
Z02.89
Z04.6