MedicaidAdministrativeMedium impact
20-548 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 is implementing new financial reporting requirements for Risk-Bearing Organizations (RBOs) and Participating Physician Groups (PPGs) under their Cal MediConnect Plan. RBOs must now submit quarterly and annual financial survey reports regardless of member count and comply with amended cash-to-claims ratio and tangible net equity requirements.
Action Required
If your practice is a Participating Physician Group or Risk-Bearing Organization under Health Net's Cal MediConnect Plan: Contact Health Net Provider Services Center at provider_services@healthnet.com within 60 days to understand specific reporting requirements. Prepare to submit quarterly and annual financial survey reports using updated forms and ensure compliance with new cash-to-claims ratio and tangible net equity standards.