CalViva Health Medi-Cal New Provider Resources

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.

The materials here and the trainings available online supplement the 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. Physicians, practitioners and other providers who prefer in-person training may contact Provider Relations by email to request a training session. If you have questions about these materials, or need additional information regarding CalViva Health, contact CalViva Health at 888-893-1569 or visit the CalViva Health website.

These materials can help you and your staff become familiar with the Plan's line of business/product and include:

• Your Central Hub for Quality Management Program and Resources (PDF)
  Learn about the Plan's multifaceted Quality Management program, including access standards, quality measures and safety reporting, utilization management, wellness and chronic conditions, and more.
• Provider Access Guide: Availity and Health Net Provider Portals + Website (PDF)
  This quick reference guide outlines the tools and resources available on the Availity Essentials and Health Net provider portals, with instructions on how to register for a website account.
• Medi-Cal Operations Guide (PDF)
  The guide is a summary of the Plan’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.
• No-Cost Interpreter Services flyer (PDF)
  Find quick-reference contact information to request no-cost phone and onsite medical interpreter services through the Plan’s Language Support Line.
• Better Communication, Better Care: Provider Tools to Care for Diverse Populations toolkit (PDF)
  Developed by the Health Industry Collaboration Effort (HICE), this toolkit includes provider tools and resources to care for and interact with diverse populations. HICE is a multidisciplinary team of providers, health plans, associations, and accrediting bodies that work collaboratively to implement and improve regulatory compliance.
• Medi-Cal Member Rights and Responsibilities flyer (PDF)
  Outlines members’ rights and responsibilities in relation to the Plan, its physicians and practitioners, and all other health care professionals who provide care for them.
• Certificate of New Provider Training form (PDF)
  Physicians and other providers must sign the form to attest that they have received the Plan's required Medi-Cal trainings.
• CalViva Health New and Ongoing Provider Training Guide 2024 (PDF)
  The training deck is a high-level overview of the Plan's policies, procedures, contacts and other important information. The deck helps physicians, practitioner and other providers learn how to navigate the Plan resources and tools.
• Findhelp How-To Guide (PDF)
  Helps physicians, practitioners and other providers find no-cost or low-cost social programs and services for members using their ZIP Code. It gives details on using the Findhelp platform and how to submit referrals when needed.