Managed Care to Get Well and Stay Healthy

CalViva Health gives residents a voice with our locally managed health plan.

CalViva Health is the Local Initiative Plan for Fresno, Kings and Madera Counties. CalViva Health is under the Medi-Cal Managed Care Program. It is sponsored by the Regional Health Authority, which offers local access, local control and local responsive health care.

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Our Mission

CalViva Health is dedicated to improving access to care and providing quality health care to families in the Fresno, Kings, and Madera County area. We provide the right care at the right place and the right time.

Medi-Cal Managed Care (MCMC) is a system to provide Medi-Cal beneficiaries quality care and helps them stay healthy. MCMC health plans help beneficiaries find doctors, pharmacies and health education programs within the managed care network.

Managed care plans offer:

  • Help to coordinate care
  • Referrals to specialists
  • Nurse advice lines
  • Customer services centers

The three-county region has an estimated 450,000 Medi-Cal eligible patients that will be enrolled in either a regional Medi-Cal managed care health plan or a commercial plan, creating one of the largest Medi-Cal managed care systems in the state.

The Regional Health Authority also creates infrastructure to take advantage of opportunities that may arise from local, state or national health care coverage efforts.

Our History

In July 2005, Governor Schwarzenegger signed a bill that included expansion of Medi-Cal managed care in Fresno, Kings and Madera Counties. Since then, the three counties have worked together to develop a Regional Two-Plan model that includes:

  1. a local health authority created by counties to administer a Medi-Cal managed care health plan, and
  2. a separate commercial plan.

During the spring of 2009, the Fresno, Kings and Madera Counties’ Boards of Supervisors created a Health Authority to govern CalVivaHealth, a regional Medi-Cal managed care health plan.

Our Leadership

A 17-member commission oversees the regional health plan. All commissioners live in one of the three counties in the region.

CalViva Health is managed by a staff of qualified, experienced health care professionals. Chief Executive Officer Greg Hund oversees daily operations.

Three Commission-appointed positions have been designed as follows:

  • one resident from Fresno County,
  • one resident from Kings County and
  • one resident from Madera County.

Qualified applicants shall represent the general public, beneficiaries, physicians, hospitals, clinics and other non-physician health care providers. Individuals considering Commission at-large positions should have a commitment to a health care system that seeks to improve access to quality health care for all persons, regardless of their economic circumstances, delivers high-quality care and is financially viable.

Procedures, Forms and Documentation

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Meeting Schedules, Agendas & Minutes

The Commissioners of Fresno-Kings-Madera Regional Health Authority govern CalViva Health. They represent county government, hospitals, medical providers, and at-large community members.

Meeting Schedule

Most Recent

Agendas & Minutes

2016

Sept 15 | Agenda | Minutes

July 21 | Meeting Cancelled

May 19 | Agenda | Minutes

Mar 17 | Agenda | Minutes

Feb 18 | Agenda | Minutes

2015

Nov 19 | Agenda | Minutes

Oct 15 | Agenda | Minutes

Sept 17 | Agenda | Minutes

July 16 | Agenda | Minutes

May 28 | Agenda | Minutes

March 19 | Agenda | Minutes

February 19 | Agenda | Minutes

2014

November 20 | MEETING CANCELLED

October 16 | Agenda | Minutes

September 18 | Agenda | Minutes

July 17 | Agenda | Minutes

May 15 | Agenda | Minutes

March 20 | Agenda | Minutes

February 20 | Agenda | Minutes

2013

November 21 | Agenda | Minutes

October 30 | Special Commission Meeting | Agenda

October 17 | Agenda | Minutes

September 19 | Agenda | Minutes

July 18 | Agenda | Minutes

May 16 | Agenda | Minutes

March 21 | Agenda | Minutes

January 17 | Agenda | Minutes

2012

November 15 | Agenda | Minutes

October 18 | Agenda | Minutes

September 20 | Agenda | Minutes

July 19 | Agenda | Minutes

May 17 | Agenda | Minutes

March 15 | Agenda | Minutes

January 19 | Agenda | Minutes

Meeting Schedule

Most Recent (Committee Disbanded in May 2014)

Agendas & Minutes

2016

2015

2014

May 1 | No Meeting

March 6 | No Meeting

February 6 | No Meeting

2013

November 7 | Agenda | Minutes

October 3 | MEETING CANCELLED

September 5 | Agenda | Minutes

June 27 | Agenda | Minutes

May 2 | Agenda | Minutes

March 7 | Agenda | Minutes

January 3 | Agenda | Minutes

2012

November 1 | Agenda | Minutes

October 4 | Agenda | Minutes

September 7 | Agenda | Minutes

June 29 | Agenda | Minutes

March 2 | Agenda | Minutes

January 6 | Agenda | Minutes

The purpose of the Finance Committee is to provide a committee structure to monitor and evaluate the financial status of the Regional Health Authority (RHA) from a regulatory compliance and general operating standpoint and to advise RHA on matters within the purview of the Finance Committee.

Meeting Schedule

Most Recent

Agendas & Minutes

2016

Sept 15 | Agenda | Minutes

July 21 | Meeting Cancelled

May 19 | Agenda | Minutes

Mar 17 | Agenda | Minutes

Feb 18 | Agenda | Minutes

2015

Nov 19 | Agenda | Minutes

Oct 15 | Agenda | Minutes

Sept 17 | Agenda | Minutes

Jul 16 | Agenda | Minutes

May 28 | Agenda | Minutes

March 19 | Agenda | Minutes

February 19 | Agenda | Minutes

2014

October 16 | Agenda

September 18 | Agenda | Minutes

July 17 | Agenda | Minutes

May 15 | Agenda | Minutes

March 20 | Agenda | Minutes

February 20 | Agenda | Minutes

2013

November 21 | Meeting Cancelled | Agenda

October 17 | Agenda | Minutes

September 19 | Agenda | Minutes

July 18 | Agenda | Minutes

May 16 | Agenda | Minutes

March 21 | Agenda | Minutes

January 17 | Agenda | Minutes

The Public Policy Committee is a place for CalViva Health members to share their thoughts and ideas on their CalViva Health plan. Meetings will be four times a year in Fresno, Kings, and Madera Counties.

Meeting Schedule

Most Recent

Agendas & Minutes

2016

Sept 7 | Agenda |

June 1 | Agenda | Minutes

Mar 2 | Agenda | Minutes

2015

Dec 2 | Agenda | Minutes

Sept 2 | Agenda | Minutes

June 3 |  Agenda | Minutes

March 4 |  Agenda | Minutes

2014

December 3 | Agenda

September 3 | Agenda | Minutes

June 4 | Agenda | Minutes

March 5 | Agenda

2013

December 4 | Agenda | Minutes

September 4 | Agenda | Minutes

June 5 | Agenda | Minutes

March 6 | Agenda | Minutes

2012

December 5 | Agenda

September 7 | Agenda

June 6 | Agenda

March 7 | Agenda | Minutes

The purpose of the Quality Improvement/Utilization Management (“QI/UM”) Committee is to provide oversight and guidance for CalViva Health’s QI, UM, and Credentialing Programs. The QI/UM Committee monitors the quality and safety of care and services rendered to members, identifies clinical and administrative opportunities for improvement, recommends policy decisions, evaluates the results of QI and UM activities, and institutes needed actions.

Committee Meeting Schedule

Meeting Schedule

Committee Meeting Agenda and Minutes

2016

Sept 15 | Agenda |

Aug 11 | Agenda |

July 21 | Meeting Cancelled

May 19 | Agenda | Minutes

March 17 | Agenda | Minutes

February 18 | Agenda | Minutes

2015

February 19 |  Agenda | Minutes

March 19 |  Agenda | Minutes

May 28 |  Agenda | Minutes

July 16 |  Agenda | Minutes

September 17 |  EDUCATIONAL SESSION | Agenda

October 15 |  Agenda | Minutes

November 19 |  Agenda | Minutes

2014

February 20 |  Agenda | Minutes

March 20 |  Agenda | Minutes

May 15 |  Agenda | Minutes

July 17 |  MEETING CANCELLED |

August 7 |  Agenda | Minutes  (July Rescheduled Meeting)

September 18 |  Agenda | Minutes

October 16 |  Agenda |

November 20 |  EDUCATIONAL SESSION | Agenda

2013

January 17 |   Minutes

March 21 |  Agenda | Minutes

May 16 |  Agenda | Minutes

July 18 |  Agenda | Minutes

September 19 |  Agenda | Minutes

October 17 |  Agenda | Minutes

November 21 |  Agenda | Minutes