Public Health Care Managed Locally

Contract with CalViva Health to provide Medi-Cal Managed Care services.

CalViva Health is a local public health plan serving Medi-Cal beneficiaries living in Fresno, Kings and Madera Counties. Various contracted third parties help us provide quality health care to low-income families. Please refer to your Provider Operations Manual for details on our operating policies and procedures.

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Provider claims for CalViva Health should be submitted to:

PO Box 14598
Lexington, KY 40512-4598

CalViva Health offers providers a number of resources to help make your job easier.

Rainbow Guide

Call Provider Relations at +1 (559) 445 - 8744 to request your toolkit filled with key operational and preventative services information.

Continuity of Care Policy

Download this Continuity of Care Policy to give to patients who would like to request continuation of care upon a change in the status of their health plan.

Formulary List

Download this Formulary LIst for the CalViva Health Medi-Cal Recommended Drug List (RDL) to let your patients know which drugs we cover.

Provider Directory

Download our Provider Directory or use our online provider search to locate a network provider for your patient.

Provider Communications

The links below contain selective updates, letters and announcements distributed to providers.

07/14/2017 - 17-621   CalViva_C&L update

06/30/2017 - 17-592   CalViva_FWA Compliance and Training Requirements

06/28/2017 - 17-590   CalViva Member Appeals-Grievances

03/02/2017 - 17-228   Medi-Cal Provider Data Verification

02/24/2017 - 17-204   Clarification Regarding Annual Supplies for Contraceptives for CalViva Health Members

01/27/2017 - 17-114   CalViva Health Adds New Specialty Pharmacy Acaria Health

01/09/2017 - 17-079   Non-Discrimination in Health Programs and Activities

12/14/2016 – 16-825  Provider Demographic Data Verification Reminder

12/6/2016 – 16-803    Annual Supply for Contraceptives

11/15/2016 – 16-753  CCS, Early Start, Regional Center Resources

11/9/2016 – 16-751    Kids & Teens Challenge Program Ending

05/25/2016 – 16-297  New Review Policy for Modifier 59