Affiliated Health Plan Delegated Utilization Management - Reporting

Provider Type

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

The following information applies to Los Angeles County only.

Primary care physicians (PCPs) participating with Molina Healthcare, directly or through a participating physician group (PPG), must send utilization reports directly to Molina detailing Medi-Cal services to members in this plan. Molina then sends copies of these reports to Health Net.




California Children's Services (CCS)


Report of Health Net members referred to CCS at time of occurrence to initiate care coordination.

Comprehensive Perinatal Services Program (CPSP)

Case-by-case at time of occurrence

Report of Health Net members referred to CPSP at time of occurrence, to initiate care management.