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MedicaidAdministrativeMedium impact

20-621 Medi-Cal 2019 Provider Appointment Availability and After-Hours Access Survey Results

Health Net·CA · Family Medicine, Internal Medicine, General Practice +3 more·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

CalViva Health's 2019 survey results show that Medi-Cal providers in Fresno, Kings, and Madera counties are failing to meet appointment availability standards for urgent care, non-urgent appointments, and preventive care. Providers not meeting timely access standards will be subject to Corrective Action Plans (CAPs) requiring written improvement plans within 30 days.

Action Required

Action needed
Within 30 calendar days if issued a CAP: Submit a written improvement plan detailing actions taken to correct each deficiency for appointment scheduling standards. Attend required online training sessions. Implement scheduling improvements to meet DMHC performance goals of 90% for urgent care appointments within 48-96 hours and non-urgent appointments within 10-15 business days.