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 9020
Farmington, MO 63640-9020
CalViva Health offers providers a number of resources to help make your job easier.
Email Provider Relations at firstname.lastname@example.org 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.
Machine Readable File. The machine readable file below can be downloaded by third parties and used to review formulary data.
Machine Readable File. The machine readable file below can be downloaded to locate a network provider for your patient.
The links below contain selective updates, letters and announcements distributed to providers.
04/29/2020 – 20-383 Optimize Your Telehealth Capabilites
04/15/2020 – 20-356 Optimize Your Telehealth Capabilites
03/25/2020 – 20-335 COVID-19 (Coronavirus) Questions and Answers
02/04/2020 – 20-123 CA myStrength for OUD
01/30/2020 – 20-138 CalViva Health Encounter Data Submission validation
01/28/2020 – 20-028 Prop 56 Rates Extended for SFY 2019-2021
01/24/2020 – 20-092 Prior Authorization Requirements
01/10/2020 – 20-022 Appointment Accessibility
01/08/2020 – 20-041 Contract Status HDPP