MedicaidReimbursementMedium impact
26-858 Earn $70 Per eConsult – Improve Specialist Access and Care Coordination
Health Net·CA · Family Medicine, General Practice, Internal Medicine·Reimbursement
We identified it
Jul 21, 2026
Summary
HealthNet California is offering a limited-time financial incentive of $70 per eligible eConsult submitted and billed through ConferMED for primary care physicians in Imperial County, Medi-Cal. This incentive runs through October 1, 2026, with quarterly payments, requiring providers to ensure current W-9 information is on file with Provider Engagement.
Action Required
By October 1, 2026: Primary care providers and billing team must (1) verify current W-9 is on file with HealthNet Provider Engagement; (2) ensure ConferMED eConsult integration is active in EMR system; (3) establish internal billing processes to identify, document, and bill eligible eConsults to capture the $70 per-consult incentive; (4) track eConsult submissions quarterly to reconcile with HealthNet payments. Billing team should audit eConsult claims monthly to ensure proper capture and prevent revenue loss from uncaptured eligible consults. Contact Denise Miller for technical setup if not currently using eConsults. This incentive applies only to Imperial County Medi-Cal plans.