MedicaidAdministrativeLow impact
20-549 Changes to the Financial Survey and Statement Requirements
Health Net·CA·Provider News
Effective date
Oct 1, 2019
We identified it
Jun 20, 2026
Summary
Health Net/CalViva Health has implemented new financial reporting requirements for Risk-Bearing Organizations (RBOs) including Participating Physician Groups (PPGs) with capitated contracts. RBOs must now submit quarterly and annual financial survey reports regardless of member count and comply with updated cash-to-claims ratio and tangible net equity requirements.
Action Required
Immediately: Capitated participating physician groups in Fresno, Kings, and Madera counties must ensure compliance with quarterly and annual financial survey reporting requirements to Health Net/CalViva Health. Contact CalViva Health at 1-888-893-1569 to confirm reporting schedules and obtain required forms. Non-compliance may affect contract status and reimbursement.