MedicaidAdministrativeHigh impact
23-194 Refer CalViva Health Members to Other Medical Centers Due to Madera Community Hospital Closure
Health Net·CA·Provider News
Effective date
Dec 30, 2022
We identified it
Jun 20, 2026
Summary
Madera Community Hospital closed on December 30, 2022, and CalViva Health members must now be referred to four alternative medical centers for continued care. Health Net has established partnerships with Community Regional Medical Center, Clovis Community Medical Center, Mercy Merced Medical Center, and Saint Agnes Medical Center to serve CalViva Health members in Madera County.
Action Required
Immediately: Update all referral protocols and systems to redirect CalViva Health members from Madera County to the four approved alternative hospitals: Community Regional Medical Center (Fresno), Clovis Community Medical Center, Mercy Merced Medical Center, and Saint Agnes Medical Center. Billing team must verify patient eligibility and update facility codes in billing system. Front desk staff should inform patients of new hospital options and update referral forms. Contact CalViva Health at 888-893-1569 for questions about member transitions.