MedicaidAdministrativeLow impact
20-188 It's Not Too Late - Inform Your Patients on How to Prevent the Flu
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net and CalViva Health are providing updated guidance on flu vaccine administration and billing for Medi-Cal members in Fresno, Kings and Madera counties. Providers should offer flu vaccines through May and ask members about vaccination status during visits, with reimbursement following standard Medi-Cal contract terms.
Action Required
Immediately: All providers should ask Medi-Cal members about flu vaccination status during office visits and offer vaccines through May. Front desk staff should inform patients about walk-in vaccination sites if vaccines are not available in-office. Billing team should follow standard Medi-Cal contract terms for flu vaccine reimbursement.