MedicaidAdministrativeMedium impact
22-155 DHCS Audit Notification
Health Net·CA·Prior Authorization
Effective date
Apr 18, 2022
We identified it
Jun 20, 2026
Summary
The Department of Health Care Services (DHCS) is conducting onsite audits of CalViva Health providers in Fresno, Kings, and Madera counties from April 18-29, 2022, reviewing records from April 2020 through March 2022. Providers must cooperate with DHCS nurse evaluators who will contact them directly to schedule visits.
Action Required
April 18-29, 2022: Providers in Fresno, Kings, and Madera counties must prepare for potential DHCS onsite audit visits. Ensure all patient records from April 1, 2020 through March 31, 2022 are organized and accessible. Cooperate fully with nurse evaluators who will contact you to schedule visits. Access provider portal at CalViva Health for real-time information verification.