22-624 See What News Is Online for July 2022
Date: 08/08/22
This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, and Ancillary providers.
This information applies to Medi-Cal in Fresno, Kings and Madera counties.
Go to the Provider Library for the latest information that can help you do business with us
The table below outlines communications that have been posted in the Provider Library in July 2022. It includes the posting date, material number and title, type of communication, applicable audience and counties, and a summary of the communication.
Date, Number and title | Type of notice | Audience | Medi-Cal counties | Summary |
|---|---|---|---|---|
July 22. 2022 22-545m, Members Get Better, Simpler Medi-Cal from Mandatory Medi-Cal Enrollment | Regulatory | Physicians PPGs Hospitals Ancillary providers | Fresno Kings Madera | Effective January 1, 2023, the Department of Health Care Services will be transitioning Medi-Cal beneficiaries who are currently excluded from or voluntary for managed care plan (MCP) enrollment into an MCP. They will no longer be permitted to remain in the state’s fee-for service delivery system. |
July 22. 2022 22-549m, Refer Members to Housing Transition Navigation Services | Contractual | Physicians PPGs Hospitals Ancillary providers Enhanced Care Management Providers Community Supports Providers | Fresno Kings Madera | Gives an overview of Housing Transition Navigation Services, referring an eligible Medi-Cal member and the role of the Housing Navigator. The Housing Navigator works with members to develop a tailored permanent housing plan and other needed support services.
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July 25, 2022 22-526m, Request Authorization for Recuperative Care (Medical Respite Care) | News & Announcements | Physicians PPGs Hospitals Enhanced Care Management Providers Community Supports Providers | Fresno Kings Madera | Prior authorization is required for recuperative care (medical respite care) for Medi-Cal members. The communication also includes a recommended process for obtaining authorization. |
July 29, 2022 22-564m, Get Ready for the 2022 Provider Appointment Availability, After-Hours and Phone Access Surveys | News & Announcements | Physicians PPGs Ancillary providers | Fresno Kings Madera | This update is to notify providers that Health Net, on behalf of CalViva Health, will be conducting its annual Provider Appointment Availability, After-Hours and Telephone Access surveys starting August through December 2022. The update helps providers plan for the surveys by including appointment availability, after-hours and telephone access guidelines. |
July 29, 2022 22-560m, We Want to Hear from You – 2022 Provider Satisfaction Survey | News & Announcements | Physicians PPGs Ancillary providers | Fresno Kings Madera | This update informs providers about the upcoming annual Provider Satisfaction Survey and encourages participation in the survey |
July 29, 2022 22-572m, Online Tip Sheets Offer Quick Information with Best Practices | News & Announcements | Physicians PPGs Hospitals Ancillary providers | Fresno Kings Madera | This flyer notifies providers about new and updated tip sheets that are available online and cover many topics. Instructions are also included on how to access them directly on the website. |
Additional information
If you have additional questions regarding the information contained in this update, contact CalViva Health at 888-893-1569.