MedicaidAdministrativeMedium impact
26-733 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
Summary
Health Net will assess participating physician groups (PPGs) for Medi-Cal network adequacy from July-September 2026. PPGs must attend webinars, review their provider networks for accuracy, and ensure they meet provider-to-member ratios and time/distance standards to avoid corrective action or loss of network eligibility.
Action Required
By June 23, 2026: PPGs must register for mandatory webinars (June 23 or 25, 2026) to learn assessment requirements. Before July 2026: Review and verify all provider network data including provider types (adult/pediatric), patient age ranges, and roster accuracy. Ensure compliance with provider-to-member ratios and time/distance standards. PPGs failing to meet standards risk corrective action plans or loss of network participation eligibility.