MedicaidAdministrativeMedium impact
23-784 See What News Is Online for July 2023
Health Net·CA·Reimbursement
We identified it
Jun 20, 2026
Summary
CalViva Health released a summary of three July 2023 policy updates affecting Medi-Cal providers in Fresno, Kings, and Madera counties. Key updates include billing other health coverage as primary when members have dual coverage, asthma care quality metrics guidance, and reminders about appeals/grievances response timeframes.
Action Required
Review the three referenced policy communications (23-674m, 23-680m, 23-753m) in the Provider Library at CalViva Health. Billing team should ensure dual coverage claims bill other health coverage as primary before Medi-Cal to avoid delays. Providers should review appeals and grievances response timeframe requirements to ensure compliance with California regulations.