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Calviva prior auth form

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The document is a Request for Prior Authorization form that outlines the process for healthcare providers to request approval for medical services. It requires detailed member and provider information, clinical justification for the requested services, and specific coding. The form emphasizes the need for sufficient clinical information to avoid delays and includes instructions for submission via fax.

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2016	4.2 Satisfied (48 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What type of insurance is CalViva Health?

❖ CalViva Health is a Medi-Cal Managed Care Plan (MCP) and is the Local Initiative Health Plan for Medi-Cal managed care in Fresno, Kings, and Madera Counties.

Is Medi-Cal and CalViva the same?

Medication prior authorization requests may be submitted by fax using the Prescription Drug Prior Authorization or Step Therapy Exception Request Form (No. 61-211) English (PDF).

How do I submit a prior authorization to Medi-Cal?

Pharmacy providers and prescribers can submit a PA request via fax number 1-800-869-4325 by utilizing the preferred Medi-Cal Rx Prior Authorization Request Form or any of the following approved forms: 50-1, 50-2, 61-211.

Who qualifies for CalViva?

You qualify for CalViva Health because you qualify for Medi-Cal and live in one of these counties: Fresno, Kings, or Madera.

Are Medi-Cal and CalViva the same?

CalViva Health is the Local Initiative Plan for Fresno, Kings and Madera Counties. CalViva Health is under the Medi-Cal Managed Care Program. It is sponsored by the Regional Health Authority, which offers local access, local control and local responsive health care.

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What is the phone number for CalViva prior authorization?

CalViva Health is the Local Initiative Plan for Fresno, Kings and Madera Counties. CalViva Health is under the Medi-Cal Managed Care Program.

What is another name for Medi-Cal insurance?

Medi-Cal is Californias Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources.

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What type of insurance is CalViva Health?

Is Medi-Cal and CalViva the same?

How do I submit a prior authorization to Medi-Cal?

Who qualifies for CalViva?

Are Medi-Cal and CalViva the same?

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What is the phone number for CalViva prior authorization?

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