MedicaidAdministrativeMedium impact
20-737 Get Ready for Changes to the Medi-Cal Subnetwork Certification Assessment and Attend Upcoming Webinar
Health Net·CA·Prior Authorization
Effective date
Aug 1, 2020
We identified it
Jun 20, 2026
Summary
Health Net is conducting network adequacy assessments for Participating Physician Groups (PPGs) in Medi-Cal from August 2020 through January 2021, with certification required by March 2021. PPGs must meet specific provider-to-member ratios, time/distance standards, and timely access requirements or face corrective action plans and potential network participation impacts.
Action Required
By March 2021: PPGs must ensure they meet network adequacy standards including provider-to-member ratios for PCPs, time and distance requirements for primary and specialty care, and timely access standards. Review and verify all provider roster information for accuracy when submitted to Health Net. Attend webinars on September 25 or 30, 2020 for guidance. Failure to meet standards may result in corrective action plans or impact to network participation.