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MedicaidAdministrativeMedium impact

20-066 DHCS Audit Notification

Health Net·CA·Prior Authorization
Effective date
Feb 3, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

The Department of Health Care Services (DHCS) is conducting an onsite audit of CalViva Health and may visit provider sites from February 3-14, 2020. Providers must cooperate with DHCS staff if selected for an audit visit covering the period from February 1, 2019 through January 31, 2020.

Action Required

Action needed
February 3-14, 2020: Medi-Cal providers in Fresno, Kings and Madera counties must be prepared for potential DHCS audit visits. If contacted by a nurse evaluator, cooperation is required to schedule an onsite visit. Ensure all records from February 1, 2019 through January 31, 2020 are accessible and organized for review.