MedicaidAdministrativeMedium impact
26-323 Department of Health Care Services Audit Notification
Health Net·CA·Provider News
We identified it
Jun 20, 2026
Summary
The Department of Health Care Services is conducting an audit of Health Net and may contact select providers for phone interviews between May 11-22, 2026, regarding services provided from May 1 through December 31, 2025. This affects providers in specific California counties participating in Health Net Medi-Cal.
Action Required
Between May 11-22, 2026: Selected providers should be prepared for potential DHCS Nurse Evaluator phone interviews regarding services provided from May 1-December 31, 2025. Ensure documentation and records for this audit period are readily accessible. Contact Health Net Medi-Cal Provider Services at 800-675-6110 (or 844-966-0298 for behavioral health) with questions about the audit process.