MedicaidAdministrativeMedium impact
24-169m Ask Members to Complete the Health Information Form So They Get Needed Services
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Community Health Plan of Imperial Valley now requires newly enrolled Medi-Cal members to complete a Health Information Form within 90 days of enrollment. Providers must remind patients during their required Initial Health Appointment (within 120 days) to complete this form to help identify health barriers and service needs.
Action Required
Immediately: Front desk and providers must remind all new Community Health Plan of Imperial Valley Medi-Cal members during their Initial Health Appointment (required within 120 days of enrollment) to complete the Health Information Form within 90 days. Add reminder to patient check-in process and appointment workflows. Form is available in member welcome booklet or can be accessed via provider portal at 833-236-4141.