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 9020
Farmington, MO 63640-9020

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.

01/31/2018 - 18-095   Medi-Cal Provider Enrollment Changes

01/02/2018 - 18-002   Encounter Data Submission Validation

10/18/2017 - 17-866   Paper Claims Address Change and Submission of Forms

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