All PlansAdministrativeMedium impact
20-035 A More Centralized and Collaborative Approach to Delegation Oversight
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
Health Net is implementing a new Delegation Oversight Interactive Tool (DOIT) in 2020 for Participating Physician Groups to centralize all utilization management reporting, audit activities, and corrective action tracking. This affects administrative processes for prior authorization and delegation oversight rather than direct billing procedures.
Action Required
By Q1 2020: Participating Physician Groups must transition to the new DOIT system when contacted by Health Net's Delegation Oversight Department. Billing managers should prepare for new centralized reporting requirements for utilization management activities, complete pre-audit surveys through DOIT, and ensure staff receive training on the new system. Contact Delegation_Oversight_Group@Centene.com with questions about implementation.