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MedicaidAdministrativeMedium impact

24-1207m Annual Medical Records Collection Begins January 2, 2025

Health Net·CA·Prior Authorization
Effective date
Jan 2, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net/CalViva Health will begin collecting HEDIS medical records from providers starting January 2, 2025 through May 30, 2025, using their contracted vendor Datafied. Providers must respond within 7 days when contacted and submit requested records or complete a Certificate of No Record form.

Action Required

Action needed
Starting January 2, 2025: Medical records staff must respond within 7 days when contacted by Datafied for HEDIS record requests. Prepare to submit requested member records or complete Certificate of No Record (CNR) forms. Ensure contact information is current for telephone confirmation. If records cannot be provided within 7 days, call Datafied at 714-666-0951 with expected timeframe. Failure to respond will result in follow-up requests from Datafied.