MedicaidAdministrativeMedium impact
22-1043 New Update to PPG's Delegated Agreement to Help Providers Manage Delegated Responsibilities
Health Net·CA·Prior Authorization
Effective date
Feb 13, 2023
We identified it
Jun 20, 2026
Summary
Health Net and CalViva Health changed their delegation agreement process for participating physician groups (PPGs). Delegation agreements will now be issued at the beginning of each year instead of after annual audits, with 14 days required for review and signature of any off-cycle agreements.
Action Required
Participating Physician Groups: Review delegation agreements when received at the beginning of each year instead of waiting for annual audit completion. For any off-cycle delegation agreements, review and submit with appropriate signatures within 14 calendar days of receipt. Monitor for 30-day cure period notifications if delegation responsibilities are not met according to Plan/PPG/Provider standards.