CommercialAdministrativeMedium impact
26-373 New California Credentialing Requirements Under AB 1041: Phased Implementation (2026-2028)
Health Net·CA·Provider News
Effective date
Jan 1, 2028
We identified it
Jun 20, 2026
Summary
California AB 1041 mandates that all provider credentialing and recredentialing applications must be submitted through CAQH starting January 1, 2028. Health Net must make credentialing decisions within 90 days and may provisionally approve eligible providers for up to 120 days when timelines are exceeded.
Action Required
By January 1, 2028: All providers must register for and maintain current CAQH profiles for credentialing submissions. Before October 2026: Billing team should ensure all providers have active CAQH accounts and complete profiles including current licenses, malpractice insurance, and work history. Providers must respond to Health Net requests for additional information within 10 business days to avoid processing delays.