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MedicaidAdministrativeMedium impact

20-791 Medi-Cal 2019 Provider Appointment Availability and After-Hours Access Survey Results

Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net Medi-Cal published 2019 survey results showing providers failed to meet appointment availability standards for urgent care with PCPs (48 hours), urgent specialist care (96 hours), and non-urgent specialist appointments (15 business days). Providers not meeting these standards will receive corrective action plans requiring written improvement plans within 30 days and mandatory training.

Action Required

Action needed
Within 30 calendar days of receiving a Corrective Action Plan (CAP): Submit written improvement plan detailing actions to correct appointment availability deficiencies and attend mandatory Health Net online training webinar. Review current office scheduling practices to ensure urgent PCP appointments within 48 hours, urgent specialist appointments within 96 hours, and non-urgent specialist appointments within 15 business days. Train all staff on appointment access standards and after-hours procedures.