Resources

Rainbow Guide

Email Provider Relations at hn_provider_relations@healthnet.com to request your printed toolkit filled with key operational and preventative services information.

Download Toolkit

Operations Guide

Download this Operations Guide

for basic information about public
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

For Help in supporting your Medi-Cal patients under the CalAIM program click here.

Prior Authorization List

Download this Prior Authorization List

Providers should refer to the member’s Evidence of Coverage (EOC) to determine exclusions, limitations and benefit maximums that may apply to a particular procedure, medication, service, or supply.

Continuity of Care Policy

Download this Continuity of Care Policy

Download this Continuity of Care Policy (Spanish)
Download this Continuity of Care Policy (Hmong)

to give to patients who would like to request continuation of care upon a change in the status of their health plan.

Contract Drug List (CDL)

View the Contract Drug List (CDL) on the DHCS website

for the Medi-Cal CDL that is maintained by the Department of Healthcare Services (DHCS).

Medi-Cal 101 Brochure

Download this Medi-Cal 101 Brochure

Download this Medi-Cal 101 Brochure (Spanish)
Download this Medi-Cal 101 Brochure (Hmong)

to give to patients who would like to learn about Medi-Cal and if they are able to get it. Use this brochure to help answer some of their questions about Medi-Cal and what it has to offer.