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CalViva Health is a local public health plan serving Medi-Cal beneficiaries living in Fresno, Kings and Madera Counties. Various contracted third parties help us provide quality health care to low-income families. Please refer to your Provider Operations Manual for details on our operating policies and procedures.
Provider claims for CalViva Health should be submitted to: PO Box 9020 Farmington, MO 63640-9020 Clearinghouse contact information for real time transactions (eligibility and claims status):
CalViva Health is a locally managed public health care plan that operates under the Medi-Cal Managed Care Program, offering support to members, providers and residents of our local communities.
CalViva Health offers Medi-Cal Managed Care services and utilizes various contracted third-party providers to help provide services.
For Helpful Answers at Your Fingertips: CalViva Health representatives are here to answer your questions.
health programs available to CalViva Health patients, use of and access to Medi-Cal services, physician responsibilities for coordination of patient care, and provision of health services. CalAIM Resources for Providers
If you are an active CalViva Health member: Get your eye exam, A1C blood test, kidney test, and blood pressure screen done, at least once a year. Have your doctor or office staff sign and date each test on the log. Send the completed log to CalViva Health using the postage paid envelope to get your free gift card!
Please use this online form to send us a correction or email directoryrequest@calvivahealth.org. You may also call 1-888-893-1569 TTY 711.
Medical Provider Search. Use this search to find a medical provider. Examples include but are not limited to a Pediatrician, Family Practice Physician, Clinic, Hospital, and more.
GET MORE FROM YOUR HEALTH PLAN MEMBERSHIP BY USING YOUR BENEFITS. As a CalViva Health Medi-Cal member, you can become healthier by taking advantage of free resources available to you and your family. Learn more about our free health education programs and services by calling +1-800-804-6074 TTY 711.