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

Email Provider Relations at hn_provider_relations@healthnet.com 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.

Machine Readable File. The machine readable file below can be downloaded by third parties and  used to review formulary data.

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.

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