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Health NetCommercial · Administrative · Provider News · CAMedium impact

26-373 New California Credentialing Requirements Under AB 1041: Phased Implementation (2026-2028)

Act
by Jan 1, 2028
Effective date
Jan 1, 2028
Identified
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.

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What to do

by Jan 1, 2028 · 3 steps
01All providers must register for and maintain current CAQH profiles for credentialing submissions.
02Before October 2026: Billing team should ensure all providers have active CAQH accounts and complete profiles including current licenses, malpractice insurance, and work history.
03Providers must respond to Health Net requests for additional information within 10 business days to avoid processing delays.

Original notice

26-373 New California Credentialing Requirements Under AB 1041: Phased Implementation (2026-2028)
providerlibrary.healthnetcalifornia.com · Always check the source before changing claims.
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