Medicare AdvantageAdministrativeMedium impact
20-790 2019 Provider Appointment Availability and After-Hours Access Survey Results
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net California published 2019 survey results showing that appointment availability standards were not met across all plan types, with providers failing to meet timely access requirements for urgent and non-urgent appointments. Providers who don't meet standards will be subject to corrective action plans (CAP) to improve appointment scheduling compliance.
Action Required
Immediately: Review your practice's appointment scheduling to ensure compliance with timely access standards - urgent PCP appointments within 48 hours, urgent specialist appointments within 96 hours, and non-urgent specialist appointments within 15 business days. Scheduling staff must prioritize meeting these timeframes to avoid corrective action plans. Access the complete provider update 20-790 in the Provider Library for detailed corrective action guidance and compliance resources.