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Appeals and Grievances

Provider Type

  • Participating Physician Groups (PPG)

Counties Covered

  • Fresno
  • Kern  
  • Kings
  • Los Angeles
  • Madera
  • Riverside
  • Sacramento
  • San Bernardino
  • San Diego 
  • San Joaquin
  • Stanislaus
  • Tulare

Health Net does not delegate member appeals or grievances. The Health Net State Health Programs Utilization Management/Quality Improvement Committee reviews quarterly Medi-Cal appeals and grievance reports.

For more information on member appeals or grievances, refer to the discussions of Member Appeals and Grievances.

Last Updated: 08/06/2021