MedicaidCoverageMedium impact
23-483 Health Net, on Behalf of CalViva Health, Renews Long-Standing Agreement With Community Medical Centers
Health Net·CA·Provider News
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Health Net renewed its agreement with Community Medical Centers effective January 1, 2023, making it the exclusive provider for CalViva Health Medi-Cal members in Fresno, Kings, and Madera counties. Community Medical Centers terminated agreements with other Medi-Cal plans, so only CalViva Health members can access non-emergency services at these facilities.
Action Required
Immediately: Billing team must verify patient eligibility for CalViva Health Medi-Cal before scheduling non-emergency services at Community Medical Centers or affiliated facilities. Update referral protocols to ensure only CalViva Health members are referred to these facilities. Train front desk staff to educate CalViva Health Medi-Cal patients about continued access to Community Medical Centers network including three acute care hospitals, behavioral health, and outpatient specialty services.