MedicaidPrior AuthMedium impact
23-829sum Summary Update: Medical Policies- 2nd Quarter 2023
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
CalViva Health updated their medical policies for Q2 2023, affecting prior authorization requirements for procedures and services. These policies apply to CalViva Health Medi-Cal members in Fresno, Kings, and Madera counties when no California Department of Health Care Services policies are available.
Action Required
Immediately: Billing team should review the complete policy document 23-829 at Health Net Medical Policies website to identify specific prior authorization changes. Contact CalViva Health at 888-893-1569 for clarification on procedures requiring prior auth. Update prior authorization workflows for CalViva Health Medi-Cal members in affected counties.