Health plan members have the right to receive timely access to care. The law requires health plans have provider networks, including doctors, that can give health plan members appointments within defined timeframes, including a certain number of days or hours, depending on the appointment type.
Health plans conduct annual surveys of contracted providers to assess timely access to care compliance and report the results to the DMHC. The DMHC analyzes the data and produces an annual timely access report. The health plan timely access data provided by selecting the link below displays the weighted percentage of surveyed providers who indicated they had appointments available within the appointment wait time standards by health plan.
Learn more about timely access requirements in the Timely Access to Care fact sheet and review timely access data for previous years in the annual timely access reports.