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25-977m Earn $75 for Early Pregnancy Confirmation

Date: 09/26/25

Support timely prenatal care and get rewarded. Incentive offer ends December 31, 2025

Primary care physicians (PCPs) participating in the 2025 HEDIS® Improvement Program (HIP) can earn a $75 incentive for each eligible Medi-Cal member whose pregnancy is confirmed early. This supplemental payment recognizes providers who help ensure timely access to prenatal care.

Eligibility requirements

To qualify for the $75 Confirmation of Pregnancy incentive, PCPs must:

  • Be contracted with Health Net or a contracted participating physician group (PPG) under the Medi-Cal program.
  • Be in good standing with Health Net and their PPG with no licensing or credentialing restrictions.
  • Accurately complete and submit the Confirmation of Pregnancy form within the required time frame. The completed form must include all required signatures.

When to use Confirmation of Pregnancy form

To receive the incentive, submit the form when:

  • The member confirms pregnancy during the first trimester, or
  • Within 42 days of enrolling in Medi-Cal with Health Net.

The form must include:

  • Member information.
  • Pregnancy information.
  • Rendering practitioner’s information.

How to access and submit the form

The Confirmation of Pregnancy Form (PDF) is available in the Provider Library under Forms and References. Submission instructions are included on the form.

Payment schedule

Incentives are processed semiannually. PCPs will receive $75 per complete and accurate form faxed to Health Net prior to the close of December 31, 2025.

Key program details

  • This incentive is separate from base provider compensation under the Medi-Cal Provider Participation Agreement.
  • It does not affect contracting rates with PPGs.
  • Only forms submitted within the required time frame and completed correctly will be eligible for payment.

Additional information

If you have questions regarding the information contained in this update, contact the Health Net Provider Services Center by email, by telephone at 800-675-6110 or through the Health Net provider portal.
 

This information applies to Physicians.

For Medi-Cal, this information applies to Amador, Calaveras, Inyo, Los Angeles, Mono, Sacramento, San Joaquin, Stanislaus, Tulare and Tuolumne counties.



Last Updated: 09/26/2025