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21-496m Critical Action Needed to Comply with Decertification Notices

Health Net·CA·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Long-term care facilities in Fresno, Kings, and Madera counties that receive decertification notices from California Department of Public Health must immediately notify their Provider Network Management representative and assist with member transition planning. Health Net will terminate contracts within 5 business days and suspend all payments after the decertification date.

Action Required

Action needed
Immediately upon receiving decertification notice from CDPH: LTC facilities must notify Provider Network Management representative to begin contract termination process and assist with transition planning for CalViva Health members. Billing team must stop submitting claims for services provided after the decertification effective date as all payments will be suspended. Failure to comply will result in contract termination within 5 business days.

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