MedicaidAdministrativeMedium impact
20-022 Rescheduled Appointments Must Meet Timely Access Standards
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net/CalViva Health requires rescheduled appointments to meet the same timely access standards as initial appointments for Medi-Cal members in Fresno, Kings, and Madera counties. Urgent appointments must be rescheduled within 48-96 hours and non-urgent within 10-15 business days depending on appointment type.
Action Required
Immediately: Front desk staff must ensure all rescheduled appointments for Health Net/CalViva Medi-Cal members meet regulatory wait time standards. Update scheduling protocols to prioritize rescheduled urgent appointments within 48 hours (PCP) or 96 hours (specialists), and non-urgent appointments within 10-15 business days. Training staff should access timely access webinars through the Health Net provider portal.