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MedicaidAdministrativeMedium impact

26-735 Medi-Cal Subnetwork Certification: Get Ready for the July Assessment

Health Net·CA·Provider News
Effective date
Jul 1, 2026
We identified it
Jun 20, 2026
Days to comply
11 days

Summary

Health Net and Community Health Plan of Imperial Valley will assess participating physician groups (PPGs) for network adequacy from July-September 2026 under new DHCS requirements. PPGs must register for webinars, review their provider networks for accuracy, and ensure they meet provider-to-member ratios and access standards or face corrective action plans and potential network eligibility risks.

Action Required

Before Jul 1, 2026
By June 23 or 25, 2026: PPGs must register for mandatory webinars at 1 p.m. Pacific time. Before July 2026: Review and confirm all provider data is accurate including provider types (adult/pediatric), patient age ranges, and roster information. Verify network meets provider-to-member ratios and time/distance access standards. Contact Plan Provider Engagement network specialist with questions. Failure to meet standards may result in corrective action plans or loss of network participating eligibility.