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MedicaidAdministrativeMedium impact

23-485 Ensure Patient's Health Information Forms (HIF) are Submitted to the Correct Address

Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Provider News
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

CalViva Health has updated the mailing address for Health Information Forms (HIF) submissions. Primary care providers must now send completed HIF forms to a new P.O. Box address in Farmington, MO instead of the previous address.

Action Required

Action needed
Immediately: Update all HIF submission processes to send forms to the new address: Medical Management Notifications, P.O. BOX 2010, Farmington, MO 63640-9706. Front desk and billing staff must update any stored addresses, mailing labels, and submission workflows. Continue to keep copies in member charts and ensure forms are submitted within 90 days of member assignment to PCP.