MedicaidAdministrativeLow impact
24-172m Stay Informed About Quality Goals and Activities to Improve Members' Health
Health Net·CA · Family Medicine, Internal Medicine, Pediatrics +3 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net released 2023 HEDIS quality performance results for Medi-Cal plans across multiple California counties, showing progress in some areas like breast cancer screening and blood pressure control, but continued gaps in childhood immunizations and other measures. This is an informational update about quality improvement initiatives and performance benchmarks rather than a billing or authorization change.
Action Required
No immediate billing changes required. Providers should review quality measure performance data for their counties and consider participating in Health Net's quality improvement programs like mobile mammography, weekend clinics, and care gap outreach campaigns to improve HEDIS scores and member outcomes.