MedicaidAdministrativeLow impact

24-171m Stay Informed About Quality Goals and Activities to Improve Members' Health

Q: Who is affected by this change?

This affects Health Net Family Medicine, Internal Medicine, Pediatrics, OB-GYN, Endocrinology, Cardiology +1 more providers in CA on Medicaid plans.

Health Net·CA · Family Medicine, Internal Medicine, Pediatrics +4 more·Prior Authorization

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

CalViva Health released their 2023 HEDIS quality performance results and ongoing quality improvement initiatives. This is an informational update about quality measures performance across Fresno, Kings, and Madera counties, with no direct billing or prior authorization changes.

Action Required

Action needed

No immediate action required. Billing team should be aware of quality improvement initiatives including live calls to members for medication compliance (asthma, diabetes, blood pressure) and care gap outreach programs. Contact CalViva Health at 888-893-1569 for questions or 844-966-0298 for behavioral health inquiries.

Related policy hubs

Health Net policies CA policy changes Family Medicine Internal Medicine Pediatrics OB-GYN Endocrinology Cardiology Pulmonology