MedicaidDocumentationMedium impact
Initial Health Appointment (IHA) for Newly Enrolled Medi-Cal Members
L.A. Care Health Plan·CA · Family Medicine, Internal Medicine, General Practice +2 more·Provider Communication
Effective date
May 21, 2024
We identified it
Jun 20, 2026
Summary
L.A. Care Health Plan requires Initial Health Appointments (IHA) for newly enrolled Medi-Cal members to be completed within 120 days of enrollment. Providers must document comprehensive health assessments and use specific billing codes, with monthly reporting available through the Provider Portal to track compliance.
Action Required
Immediately: Billing team must ensure proper documentation of all IHA components in member medical records and use appropriate CPT/ICD-10 codes from the provided list when billing for newly enrolled L.A. Care Medi-Cal members. Access monthly IHA reports through Provider Portal to track members requiring appointments within 120 days. Document all member outreach attempts and refusals in charts for compliance auditing.