MedicaidReimbursementMedium impact
26-857 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 through October 1, 2026. Primary care physicians in Fresno, Kings, and Madera counties (Medi-Cal) should integrate eConsults into their workflow to access this incentive, which supports faster specialist access and reduces unnecessary referrals.
Action Required
By October 1, 2026: Billing team must identify and track all eligible eConsults submitted by providers using ConferMED. Ensure current W-9 forms are on file with Provider Engagement for all participating providers to receive quarterly payments. Coordinate with providers to integrate eConsult billing into encounter documentation and claims submission. Establish internal process to monitor eConsult volume, verify eligibility, and reconcile $70 per-consult payments received quarterly. Contact Denise Miller (Provider Engagement) immediately to confirm participation status and W-9 documentation requirements.