MedicaidPrior AuthMedium impact
22-683 Nonparticipating Hospital Post-Stabilization Notification
Health Net·CA · Emergency Medicine·Prior Authorization
We identified it
Jun 20, 2026
Summary
CalViva Health has updated their policy for nonparticipating hospitals requiring prior authorization for post-stabilization care in Fresno, Kings and Madera counties. While prior authorization is currently suspended due to COVID-19, hospitals must still notify CalViva Health of admissions and will need to resume calling 800-995-7890 option 2 once the suspension is lifted.
Action Required
Immediately: Hospital billing teams must fax inpatient admission notifications to 800-676-7969 for CalViva Health Medi-Cal patients in Fresno, Kings and Madera counties while prior authorization remains suspended. Save contact information and prepare to resume calling 800-995-7890 option 2 for post-stabilization prior authorization once COVID-19 suspension is lifted. Failure to follow notification requirements may result in claim denials.