MedicaidAdministrativeMedium impact
20-536 Get Ready for the 2020 Provider Appointment Availability and After-Hours Access Surveys
Health Net·CA·Prior Authorization
Effective date
Aug 1, 2020
We identified it
Jun 20, 2026
Summary
CalViva Health will conduct mandatory appointment availability and after-hours access surveys from August through December 2020 for Medi-Cal providers in Fresno, Kings, and Madera counties. Providers must respond within 5 business days or face corrective action plans and potential network participation impacts.
Action Required
By August 2020: All providers in Fresno, Kings, and Madera counties must verify appointment availability standards are being met by calling their own offices. Respond to email/fax surveys within 5 business days when received. Ensure staff can communicate required access standards: urgent PCP appointments within 48 hours, non-urgent PCP appointments within 10 business days, specialty appointments within 15 business days. Failure to respond may result in corrective action plans or impact to network participation.