CommercialAdministrativeMedium impact
23-1464m Keep with Behavior Access Standards Performance Targets to Align with Plan Goals
Health Net·CA · Psychiatry·Reimbursement
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Health Net updated behavioral health appointment access standards to comply with California DMHC requirements, establishing specific performance targets for scheduling appointments with psychiatrists and non-physician mental health providers. The policy sets compliance rates of 70-80% for various appointment types and timeframes, with stricter standards beginning in 2024.
Action Required
Beginning January 1, 2024: Scheduling staff must ensure behavioral health appointments meet new timeframes - psychiatrist appointments within 15 business days (non-urgent), non-physician provider appointments within 10 business days (non-urgent), and urgent appointments within 48-96 hours depending on prior authorization requirements. Update scheduling protocols to track compliance rates of 70-80% as specified. Monitor appointment availability to avoid potential network adequacy issues with Health Net.