provider services
Member and Provider Services Center (also eligibility and PA requests by phone)
One number for CalViva Medi-Cal member and provider services; the PA list also gives it for eligibility/benefits and telephone prior authorization requests.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
claims
Provider claims mailing address and clearinghouse payer IDs
Paper claims for CalViva Health. For real-time eligibility and claim status through clearinghouses, the payer ID is 68069 (Availity) or 95567 (Ability/MDOnline).
fax prior auth
Prior authorization request fax
CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Outpatient/inpatient PA requests may also be submitted online at provider.healthnetcalifornia.com.
case management
Hospital Notification Unit — admissions and post-stabilization notification
CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Emergency hospitalizations require notification within 24 hours.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
case management
Long-term Care Intake Line
CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Long-term care (SNF/LTC) intake and authorization.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
behavioral health
Behavioral Health Team
CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
transportation
Care Ride Unit — NEMT prior authorization fax
CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Non-emergency medical transportation prior authorization (PCS forms). Trip scheduling is through Modivcare.
transportation
Modivcare — NEMT/NMT ride scheduling
CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Scheduling of non-emergency and non-medical ground transportation.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
pharmacy prior auth
Pharmacy Services — physician-administered drug PA
Menu guidance in the source recordOption 2.
Menus can change. No live call verification is claimed.
CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. PA for drugs administered in a physician's office (including self-injectables given in office). Outpatient pharmacy drugs are Medi-Cal Rx.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
fax other
Public Programs — CBAS face-to-face, authorization and notification fax
CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026.
fax other
Transplant Team fax
CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Transplant evaluation, consult, donor search and transplant procedure requests.
prior authorization
Evolent — advanced and cardiac imaging prior authorization
CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Online submission at radmd.com.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
TurningPoint Healthcare Solutions — musculoskeletal procedure PA (adults)
CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Musculoskeletal surgical procedure requests for members 21 and over.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
provider services
Coram Specialty Infusion Services — preferred home infusion provider
CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
fax other
Notice of Pregnancy form fax
Fax the completed CalViva Notice of Pregnancy form as early as possible so the plan can support the pregnancy.
member services
Wellcare CalViva Health Dual Align — member services (D-SNP)
For enrolled Dual Align (Medicare + Medi-Cal) members in Fresno, Kings and Madera counties; TTY 711.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
member services
Nurse Advice Line (members, 24/7)
CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
email other
Provider Relations — request printed provider toolkit
Email Health Net Provider Relations (CalViva) to request the printed provider toolkit.
DialClerk Directory