Back to dashboard
MedicaidAdministrativeLow impact

24-170m Ask Members to Complete the Health Information Form So They Get Needed Services

Health Net·CA·Provider News
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net requires newly enrolled Medi-Cal members to complete a Health Information Form within 90 days of enrollment. Providers must remind patients to complete this form during their Initial Health Appointment (required within first 120 days).

Action Required

Action needed
Immediately: Front desk staff and providers must remind all new Medi-Cal members during Initial Health Appointments (within first 120 days of enrollment) to complete the Health Information Form within 90 days. Add reminder to appointment protocols for new Health Net Medi-Cal patients in specified counties.