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