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New Provider Welcome Packets

The materials here and the trainings available online supplement the health plan's operations manuals to assist you in understanding and adhering to policies and procedures in accordance with your Provider Participation Agreement (PPA). In-person training is also available. Providers who would prefer in-person training may contact Provider Relations by email to request a training session. This packet includes provider education materials to help you and your staff become familiar with the health plan's line of business/product. This packet includes the following materials:

  • Help Your Patients Achieve Better Health Outcomes provider update (PDF)
    The Quality Management Program update provides an overview of the components of Health Net's multifaceted Quality Management program, including its quality improvement (QI) processes.
  • Save Time Navigating the Provider Portal brochure (PDF)
    You can submit claims, verify member eligibility, request prior authorization, get reports, search the Provider Library and access resources in the provider portal. This brochure describes tools and provides instructions on how to register for and manage a website account.
  • Medi-Cal Operations Guide (PDF)
    The guide is a summary of Health Net's Medi-Cal county-specific provider operations manuals and contains essential components of the Medi-Cal plan, including basic information about the public health programs available to Medi-Cal members. The guide supplements the comprehensive operational information in the complete manuals that are available in the Provider Library on the Health Net provider website at provider.healthnet.com.
  • Free Interpreter Services flyer (PDF)
    The Health Net Interpreter Services promotional flyer provides quick-reference contact information for providers to request no-cost telephone and onsite medical interpreter services through the Health Net Language Support Line
  • ICE Toolkit – Better Communication, Better Care (PDF)
    The ICE toolkit was produced by the Industry Collaboration Effort (ICE). ICE is a multidisciplinary team of providers, health plans, associations, and accrediting bodies that work collaboratively to implement and improve regulatory compliance. The toolkit includes provider tools and resources to care for and interact with diverse populations.
  • Medi-Cal Member Rights and Responsibilities flyer (PDF)
    The Medi-Cal Member Rights and Responsibilities flyer is an additional supplemental document which describes the member's relationships with the plan, its practitioners and providers while providing care for these members.
  • Health Net New Provider Live Training Sign-In Sheet (PDF)
  • Health Net New Provider Attestation (PDF)

CalViva Health is a licensed health plan that contracts with Health Net to serve Medi-Cal enrollees in Fresno, Kings and Madera counties. CalViva Health and Health Net Community Solutions, Inc. (Health Net) are excited about the opportunity to partner with you to meet the health care needs of Medi-Cal beneficiaries. If you have questions about the enclosed materials, or need additional information regarding CalViva Health, contact CalViva Health at 1-888-893-1569 or visit the CalViva Health website.

  • Help Your CalViva Health Patients Achieve Better Health Outcomes provider update (PDF)
    The Quality Management Program update provides an overview of the components of CalViva Health and Health Net Community Solutions, Inc. (Health Net) multifaceted Quality Management program, including its quality improvement (QI) processes.
  • Save Time Navigating the Provider Portal brochure (PDF)
    You can submit claims, verify member eligibility, request prior authorization, get reports, search the Provider Library and access resources in the provider portal. This brochure describes tools and provides instructions on how to register for and manage a website account.
  • Medi-Cal Operations Guide (PDF)
    The guide is a summary of CalViva Health and Health Net Community Solutions, Inc. (Health Net) Medi-Cal county-specific provider operations manuals and contains essential components of the Medi-Cal plan, including basic information about the public health programs available to Medi-Cal members. The guide supplements the comprehensive operational information in the complete manuals that are available in the Provider Library on the provider website at provider.healthnet.com.
  • Free Interpreter Services flyer (PDF)
    The CalViva Interpreter Services promotional flyer provides quick-reference contact information for providers to request no-cost telephone and onsite medical interpreter services through the CalViva Health and Health Net Community Solutions, Inc. (Health Net) Language Support Line
  • ICE Toolkit – Better Communication, Better Care (PDF)
    The ICE toolkit was produced by the Industry Collaboration Effort (ICE). ICE is a multidisciplinary team of providers, health plans, associations, and accrediting bodies that work collaboratively to implement and improve regulatory compliance. The toolkit includes provider tools and resources to care for and interact with diverse populations.
  • Medi-Cal Member Rights and Responsibilities flyer (PDF)
    The CalViva Health Member Rights and Responsibilities flyer is an additional supplemental document which describes the member's relationships with the plan, its practitioners and providers while providing care for these members.
  • CalViva Health New Provider Attestation (PDF)

UC Davis Health and Health Net have partnered to pilot an Accountable Care Organization (ACO) program that will improve the system of care for the community surrounding UC Davis Medical Center. The program objectives include: improving outcomes, delivering care in the most appropriate settings, leveraging community programs to address social determinants of health and improving the member's experience through a personalized approach to care. Health Net is pleased to provide this orientation that includes tools and resources to assist you and your staff in caring for our Medi-Cal members and adhering to policies and procedures in accordance with your Provider Participation Agreement (PPA).

In-person training is also available. Providers who would prefer in-person training may contact Provider Relations by email to request a training session.

  • Help Your Patients Achieve Better Health Outcomes provider update (PDF)
    The Quality Management Program update provides an overview of the components of Health Net's multifaceted Quality Management program, including its quality improvement (QI) processes.
  • Save Time Navigating the Provider Portal brochure (PDF)
    You can submit claims, verify member eligibility, request prior authorization, get reports, search the Provider Library and access resources in the provider portal. This brochure describes tools and provides instructions on how to register for and manage a website account.
  • Medi-Cal Operations Guide (PDF)
    The guide is a summary of Health Net's Medi-Cal county-specific provider operations manuals and contains essential components of the Medi-Cal plan, including basic information about the public health programs available to Medi-Cal members. The guide supplements the comprehensive operational information in the complete manuals that are available in the Provider Library on the Health Net provider website at provider.healthnet.com.
  • Free Interpreter Services flyer (PDF)
    The Health Net Interpreter Services promotional flyer provides quick-reference contact information for providers to request no-cost telephone and onsite medical interpreter services through the Health Net Language Support Line
  • ICE Toolkit – Better Communication, Better Care (PDF)
    The ICE toolkit was produced by the Industry Collaboration Effort (ICE). ICE is a multidisciplinary team of providers, health plans, associations, and accrediting bodies that work collaboratively to implement and improve regulatory compliance. The toolkit includes provider tools and resources to care for and interact with diverse populations.
  • Medi-Cal Member Rights and Responsibilities flyer (PDF)
    The Medi-Cal Member Rights and Responsibilities flyer is an additional supplemental document which describes the member's relationships with the plan, its practitioners and providers while providing care for these members.
  • UCD Health / Health Net New Provider Attestation (PDF)

Provider training resources are provided here to help you care for your Cal MediConnect enrollees. The training includes, but is not limited to, the care coordination benefit, policies, procedures, methods for sharing information among Health Net, providers, enrollees, and other healthcare professionals, and enrollee rights. These materials are a supplement to the Provider Participation Agreement (PPA) and the provider operations manuals. The provider operations manuals are available electronically in the Provider Library, located on Health Net's provider website.

Providers who have specific questions about the New Provider Cal MediConnect Welcome Packet may send them to ProvServicesOps@Healthnet.com. Refer to Contact Us to direct any other topic questions for resolution.

Physicians participating in Cal MediConnect through an affiliated participating physician group (PPG) must follow the PPG's established policies and processes.

Last Updated: 04/07/2022