MedicaidAdministrativeMedium impact
25-538 Mark Your Calendar: New Peer-to-Peer Request Line Launches July 12, 2025
Health Net·CA·Prior Authorization
Effective date
Jul 12, 2025
We identified it
Jun 20, 2026
Summary
CalViva Health is launching a new dedicated peer-to-peer request line (833-236-9715) effective July 12, 2025, to streamline prior authorization appeals with live support during business hours. Providers must use this new number and have specific member information ready when requesting peer-to-peer reviews for adverse prior authorization determinations.
Action Required
By July 12, 2025: Update all prior authorization workflows and staff training to use the new peer-to-peer request line 833-236-9715. Create a checklist for staff with required information: member name, DOB, case number, medical director name, nurse name, and member ID. Train staff on timing restrictions: requests must be made within 5 business days of adverse determination and before patient discharge for concurrent reviews. Update any printed materials or EMR templates with the new phone number.