CommercialAdministrativeMedium impact
23-1469m 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 has updated behavioral health appointment access standards to align with DMHC requirements, establishing specific performance targets for appointment scheduling timelines. New compliance rates of 70-90% are required for various appointment types, with 80% targets for non-physician mental health follow-up appointments beginning in 2024.
Action Required
By January 1, 2024: Scheduling staff must ensure behavioral health appointments meet new timing standards - urgent care within 48 hours (70% compliance), non-urgent psychiatrist appointments within 15 business days (70% compliance), and non-physician behavioral health appointments within 10 business days (70% compliance). Update scheduling protocols and train staff on new performance targets to avoid compliance issues with Health Net.