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 its network providers to assess compliance with timely access to care standards and report the results to the DMHC. The DMHC analyzes the data and produces an annual timely access report. Health plan's timely access data is available by selecting the link below. The link displays each health plan's weighted percentage of surveyed providers who had an appointment available within the applicable appointment wait time standard by network and the average appointment wait time.
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.