MedicaidDocumentationMedium impact
26-947 Document IHA Outreach Attempts in Cozeva to Support DHCS Audit Requirements
Health Net·CA · Family Medicine, General Practice, Internal Medicine +1 more·Provider News
We identified it
Aug 4, 2026
Summary
Health Net is requiring primary care physicians to document all Initial Health Appointment (IHA) outreach attempts in Cozeva, including unsuccessful contact attempts, to support DHCS audit compliance. This documentation requirement applies to eligible Medi-Cal patients across 10 California counties and helps demonstrate audit readiness.
Action Required
Immediately: Primary care physicians and billing staff must implement documentation procedures in Cozeva to record all IHA outreach attempts, including unsuccessful contacts. Billing team should: (1) Review the 'Tips for Completing the Initial Health Appointment' PDF in the Provider Library under Medi-Cal > Education, Training and Other Resources; (2) Train providers on required documentation fields in Cozeva for outreach tracking; (3) Implement workflow to ensure all outreach attempts (successful and unsuccessful) are recorded prior to claims submission; (4) Verify documentation is complete for all eligible patients to ensure DHCS audit compliance. Failure to document outreach attempts may result in audit findings and potential claim denials. Contact Health Net Provider Services Center at 800-675-6110 for questions.