MedicaidAdministrativeMedium impact
24-217 Ensure Effective Post-Discharge Care and Minimize Readmissions
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net Medi-Cal has launched a new Transitional Care Services (TCS) program requiring proactive coordination of post-discharge follow-up appointments within 7 days of hospital discharge. The insurer will actively reach out to verify that follow-up services are arranged or completed within this timeframe to reduce readmissions.
Action Required
Immediately: Ensure all hospitalized patients have follow-up appointments scheduled within 7 days post-discharge. Coordinate with Health Net's TCS program by responding promptly to their verification calls at 866-801-6294. Update discharge planning workflows to proactively arrange these appointments before patient leaves hospital. Document all post-discharge follow-up scheduling in patient records.