MedicaidAdministrativeMedium impact
20-025 Rescheduled Appointments Must Meet Timely Access Standards
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net now monitors rescheduled appointments quarterly to ensure they meet timely access standards as required by California regulations. Providers must reschedule appointments within specific timeframes (urgent within 48-96 hours, non-urgent within 10-15 business days) or face potential education interventions based on access to care grievance data.
Action Required
Immediately: Review current appointment scheduling procedures to ensure compliance with Health Net's timely access standards. Update scheduling protocols to meet required timeframes: urgent appointments within 48-96 hours, non-urgent within 10-15 business days. Front desk staff should prioritize rescheduling to avoid access to care grievances and potential Health Net interventions.