CommercialAdministrativeLow impact
20-547 Changes to the Financial Survey and Statement Requirements
Health Net·CA·Provider News
Effective date
Oct 1, 2020
We identified it
Jun 20, 2026
Summary
Health Net has updated financial reporting requirements for Risk-Bearing Organizations (RBOs) and capitated participating physician groups (PPGs) based on new DMHC regulations. RBOs must now submit quarterly and annual financial survey reports regardless of member count and comply with new cash-to-claims ratio and tangible net equity requirements that became effective October 1, 2020.
Action Required
By March 2025 (within 60 days): Capitated participating physician groups and RBOs must ensure compliance with quarterly and annual financial survey reporting requirements. Contact Health Net Provider Services at provider_services@healthnet.com if questions about financial reporting obligations. This primarily affects practice administrators rather than billing teams.