MedicaidPrior AuthMedium impact
22-624 See What News Is Online for July 2022
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
CalViva Health published a summary of July 2022 policy communications for Medi-Cal providers in Fresno, Kings and Madera counties. Key changes include mandatory Medi-Cal enrollment transitions effective January 1, 2023, new housing navigation services referrals, and required prior authorization for recuperative care (medical respite care).
Action Required
Immediately: Review all referenced policy updates in the Provider Library. For recuperative care services, implement prior authorization process as outlined in communication 22-526m. Before January 1, 2023: Prepare for Medi-Cal beneficiary transitions from fee-for-service to managed care plans. Contact CalViva Health at 888-893-1569 for specific questions about implementation.