PCP Selection and Assignment

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Hospitals
  • Ancillary

Selection Criteria

If a member does not select a primary care physician (PCP) at the time of enrollment, Health Net assigns one to allow member access to medical care immediately upon enrollment.

The following assignment process is used:

  • In auto-assigning a PCP, the system searches for a PCP within 10 miles or 30 minutes of the member's residence.
  • Health Net considers the language preference of the member. The system searches for a PCP who is fluent in the member's preferred language or who has staff fluent in it.

Health Net also considers families. Family members over age 14 are assigned to the same PCP to help make appointment scheduling easier for the family. Children ages 14 and younger are assigned to a pediatrician if one is available who meets the geographic and language preference criteria. All such children are assigned to the same pediatrician

Primary Care Physician Changes