26-735 Medi-Cal Subnetwork Certification: Get Ready for the July Assessment
Date: 06/12/26
Join a webinar to learn what to expect and how to prepare
From July through September 2026, we will be assessing and certifying our participating physician groups (PPGs) for network adequacy.
Register for one of the webinars below and review your network to make sure your provider data is accurate.
Why this matters
Health Net and Community Health Plan of Imperial Valley are required to assess and certify our PPGs for network adequacy under Department of Health Care Services (DHCS) rules. This review looks at whether your network can provide timely care to patients in your service area.
What you need to do
1 Register for a webinar
- Learn the access requirements.
- Get tips to meet performance goals.
2 Review your network
- Confirm provider types are correct (adult and pediatric).
- Check patient age ranges.
- Make sure roster data is accurate before submission.
3 Review access standards
- See provider update 26-738m, Follow Access to Care Standards to Ensure Patients Get Timely Care.
- Find it in the Provider Library:
- Go to Provider Library.
- Select Medi-Cal.
- Select Updates and Letters and search for 26-738m.
Webinar schedule
Date | Time (Pacific) | Registration |
|---|---|---|
Tuesday, June 23, 2026 | 1 p.m. | |
Thursday, June 25, 2026 | 1 p.m. |
|
What the assessment includes
Capitated, delegated PPGs must show their network meets these standards:
- Provider-to-member ratios – Enough primary care physicians (PCPs) and specialists for patient population.
- Time and distance – Patients can access care within required travel time and distance.
What PPGs must do
- Allow members to receive care outside your network when needed.
- Cannot limit access to only in-network providers if gaps exist,
- Approve out-of-network care when medically necessary.
Impacts of not meeting standards
PPGs that do not meet requirements may:
- Be placed on a corrective action plan.
- Be at risk for network participating eligibility.
Need help? Contact us
PPGs can work with their designated Plan Provider Engagement network specialist if they have questions or concerns about their ability to meet access standards.
For other questions, email Subnetwork Certification.
This information applies to Participating Physician Groups (PPGs).
This information applies to Medi-Cal in Imperial County.