MedicaidAdministrativeLow impact
24-678 Provider Communications Posted Online and Operations Manual Updates for June 2024
Health Net·CA·Prior Authorization
Effective date
Jun 12, 2024
We identified it
Jun 20, 2026
Summary
This policy summarizes operational manual updates made in June 2024 for Medi-Cal providers in Fresno, Kings, and Madera counties. Key changes include a company name change from National Imaging Associates to Evolent Specialty Services for advanced cardiac imaging prior authorization, updates to prenatal screening coverage, and various form updates.
Action Required
Update contact information and documentation to reflect that National Imaging Associates, Inc. (NIA) is now called Evolent Specialty Services, Inc. (Evolent) for advanced and cardiac imaging prior authorizations. Review updated forms including the CalViva Health Confirmation of Pregnancy form and Physician Certification Statement Form for transportation requests.