MedicaidAdministrativeMedium impact
24-655m Be Ready for the 2024 Provider Appointment Availability, After-Hours and Phone Surveys
Health Net·CA·Prior Authorization
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Health Net will conduct provider surveys from July-December 2024 to assess appointment availability, after-hours access, and phone response standards. Providers must respond within 5 business days or face payment delays and potential removal from provider directories.
Action Required
July through December 2024: All providers must respond to Health Net appointment availability surveys within 5 business days of receiving email or fax invitation. Front desk staff should verify office meets standards: urgent care appointments within 48 hours, non-urgent PCP within 10 business days, specialist within 15 business days, phone calls answered within 60 seconds, callback within 1 business day, in-office wait under 30 minutes. Update provider demographic information monthly at healthnet.com. Failure to respond may result in payment delays and removal from provider directory.