MedicaidAdministrativeMedium impact
26-492 DMHC and DHCS Audit Notification
Health Net·CA·Provider News
Effective date
Jun 16, 2026
We identified it
Jun 20, 2026
Summary
DMHC and DHCS will conduct onsite audits of healthcare providers in Fresno, Kings, and Madera counties from June 16-23, 2026, reviewing medical records and compliance from 2024-2025. Providers must prepare for potential medical record reviews and nurse evaluator phone interviews during this period.
Action Required
Before June 16, 2026: All providers in Fresno, Kings, and Madera counties must review the Rainbow Guide to ensure audit readiness. Prepare medical records from February 1, 2024 through January 31, 2026 for potential DMHC review and April 1, 2025 through December 31, 2025 for DHCS review. Be ready to participate in medical record reviews, interviews, and nurse evaluator phone calls. Contact CalViva Health at 888-893-1569 with questions (behavioral health providers call 844-966-0298).