Back to dashboard
MedicaidAdministrativeMedium impact

21-605m Changes to Medical Record Review and Corrective Action Plan Verification

Health Net·CA·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Health Net California now offers virtual audits as an option for medical record reviews (MRRs) and corrective action plan (CAP) verifications for Medi-Cal providers in specific counties. Practices can choose between virtual or on-site audits based on their technical capabilities and needs.

Action Required

Action needed
Immediately: Practices subject to Health Net medical record reviews should assess their technical capabilities (reliable Wi-Fi, electronic medical records, Zoom capability) and decide whether to opt for virtual or on-site audits. Download Zoom software if choosing virtual audits and ensure dedicated staff are available for audit support. Contact Health Net Provider Services if you have questions within 60 days.

Related policy hubs