MedicaidAdministrativeMedium impact
22-202 DHCS Audit Will Now Take Place Via Phone Call
Health Net·CA·Prior Authorization
Effective date
Apr 18, 2022
We identified it
Jun 20, 2026
Summary
The DHCS audit of CalViva Health providers in Fresno, Kings, and Madera counties has changed from an onsite visit to phone interviews. Selected providers may receive calls from DHCS nurse evaluators between April 18-29, 2022, and are required to cooperate with the audit process.
Action Required
Between April 18-29, 2022: If contacted by DHCS nurse evaluators, all providers and staff must cooperate fully with phone interview audits. Ensure documentation for the audit period (April 1, 2020 through March 31, 2022) is accessible. Use CalViva Health provider portal for real-time information and contact 888-893-1569 with questions.