MedicaidAdministrativeMedium impact
24-132 Use Our Preferred Vendors for DME and Incontinence Medical Supplies
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
CalViva Health now requires providers to refer members to specific preferred vendors for durable medical equipment (DME) and incontinence supplies. The policy provides a comprehensive list of approved vendors with contact information for different categories including DME, custom rehabilitation equipment, insulin pumps, orthotics/prosthetics, and incontinence supplies.
Action Required
Immediately: Update referral processes to direct CalViva Health members only to the specified preferred vendors for DME and incontinence supplies. Front desk and clinical staff must use the provided vendor contact list when making referrals. Billing team should verify vendor network status before processing DME claims to avoid denials.