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MedicaidAdministrativeMedium impact

23-635 Annual Renewal Data file for Medi-Cal Members

Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Provider News
Effective date
May 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

CalViva Health will provide monthly data files (starting May 2023) to PCPs and PPGs identifying Medi-Cal members up for redetermination/renewal. Providers must proactively contact these members to assist with the renewal process to prevent coverage disruptions.

Action Required

Action needed
Monthly beginning May 2023: Primary care physicians and participating physician groups must review monthly data files received from Health Net on the 15th of each month identifying Medi-Cal members up for renewal. Incorporate these members into existing retention strategies and proactively contact them to assist with renewal process. Contact CalViva Health at 888-893-1569 for questions. Failure to assist members may result in coverage lapses and patient assignment changes.