MedicaidAdministrativeMedium impact
26-689m Enhancing Patient Experience Through Timely Access
Health Net·CA·Provider News
Effective date
Jun 26, 2026
We identified it
Jun 27, 2026
Summary
HealthNet California (Medi-Cal) has implemented new meeting appointment wait time standards for providers across multiple care settings in Fresno, Kings, and Madera counties effective 06/26/2026. This policy establishes timely access requirements that may affect scheduling workflows and operational compliance but does not specify billing code changes.
Action Required
By 06/26/2026: Billing and administrative teams must obtain and review the complete policy flyer (PDF) referenced in the HealthNet notice to identify specific appointment wait time thresholds and compliance requirements. Coordinate with scheduling and clinical staff to audit current appointment availability against new standards in Fresno, Kings, and Madera counties for all participating providers, PPGs, hospitals, ancillary, community support, ECM, and behavioral health providers. Implement scheduling system changes or process adjustments as needed to meet stated wait time standards. Document compliance and monitor for any payer denials or credentialing impacts related to non-compliance with access standards.