MedicaidAdministrativeMedium impact
26-725 Expanded DMHC Notification Requirements for PPG and Hospital Network Terminations
Health Net·CA·Provider News
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Health Net CalViva Health has expanded notification requirements for network terminations, now requiring Participating Provider Groups (PPGs) and hospitals to notify their Provider Network Management contact immediately when any type of termination is planned, including partial terminations, non-renewals, and service line losses. Hospital terminations require DMHC approval before removal from network, and late submissions will result in corrective action affecting delegation status.
Action Required
Before January 1, 2026: PPGs and hospitals must establish procedures to notify assigned Provider Network Management contacts immediately when any termination is planned or anticipated. Include termination notice, effective dates, extension notices if applicable, continuity of care approach, impacted members, and scope of termination. For hospital terminations, ensure DMHC Block Transfer Filing approval is obtained before network removal. Failure to comply will result in corrective action and impact delegation status.