MedicaidCoverageMedium impact
22-352m Help Medi-Cal Members Get the Specialty Care They Need
Health Net·CA·Provider News
Effective date
May 5, 2022
We identified it
Jun 20, 2026
Summary
Health Net Medi-Cal members in San Diego county assigned to Direct Network PCPs or FQHCs can now access any Direct Network specialist contracted with Health Net for Medi-Cal without additional referral restrictions. This expands specialist access for eligible Medi-Cal members.
Action Required
Immediately: Billing team should verify that San Diego county Health Net Medi-Cal members with Direct Network PCPs or FQHC assignments can be scheduled with any Direct Network specialist without additional referral requirements. Update scheduling protocols to reflect expanded specialist access for these members.