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Medi-Cal Quality Improvement Projects

Provider Type

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

Medi-Cal Performance Improvement Projects

Health Net conducts performance improvement projects (PIPs) according to Department of Health Care Services (DHCS) contractual requirements in its ongoing effort to improve health outcomes of Medi-Cal members. PIPs target specific health issues that are a concern or problem for members. They may also target under-utilized health services for which intervention may potentially increase utilization and significantly enhance health outcomes.

During each DHCS initiated PIP cycle, DHCS specifies the specific topic and requirements of the project including duration of the PIP cycle.

PIPs are developed by the Health Net Quality Improvement division in collaboration with Health Net's Medi-Cal medical directors. PIPs, which may be targeted regionally and may target both members and provider, are meant to identify barriers to improving member outcomes using quality improvement tools and test interventions that address them.

Progress and results of all PIPs are reported to the Department of Health Care Services (DHCS), Health Net Quality Improvement Health Equity Committee, Health Services Advisory Group (HSAG) - an External Quality Review Organization (EQRO), Health Net senior management, Health Net medical directors, and the Health Net board of directors.

Contact the QI Department for more information on current QIPs.

Last Updated: 12/11/2024