All PlansAdministrativeMedium impact
26-985 Strengthening PPG Performance Standards and Oversight
Health Net·CA·Provider News
We identified it
Sep 3, 2026
Summary
Health Net has updated its Participating Physician Group (PPG) Performance Management processes by implementing a formal Corrective Action Plan (CAP) policy and renaming the oversight governance structure from 'Delegation Oversight Committee' to 'Delegated Provider Performance Governance.' These administrative changes strengthen accountability and clarify performance expectations for PPGs.
Action Required
Immediately: Billing and provider operations teams must review updated Provider Manuals in the Provider Library (Provider Manual > Provider Oversight section) to understand new Corrective Action Plan procedures and updated governance terminology. No changes to billing workflows or encounter documentation are required at this time. This is primarily an administrative and governance update. Contact your Provider Engagement representative using the line-of-business-specific contact information provided if clarification is needed on how these governance changes may affect your practice's performance reviews or Joint Operations Meeting discussions.