MedicaidAdministrativeHigh impact
26-807 Medi-Cal Provider Operations Manual Updated: Review Changes for 2026
Health Net·CA·Prior Authorization
We identified it
Jun 23, 2026
Summary
Health Net CalViva Health has updated their Medi-Cal Provider Operations Manual for 2026 with comprehensive changes across multiple sections including Prior Authorizations, Benefits, Credentialing, and Utilization Management. All Medi-Cal providers in Fresno, Kings, and Madera counties must review the updated manual to ensure continued compliance with current contract requirements.
Action Required
Immediately: All billing team members and providers must access and review the updated Medi-Cal Provider Operations Manual at the provided URL to understand changes in Prior Authorizations, Benefits, Compliance, Credentialing, Utilization Management, and other operational requirements. Contact CalViva Health at 888-893-1569 with questions (behavioral health providers call 844-966-0298). Update contact information using the Demographic Update Forms to ensure continued participation.