Member Resources

Member Handbook

This document explains your rights, responsibilities and benefits as a Member of CalViva Health.

> Download the Member Handbook (English)
Errata (English)

> Download the Member Handbook (Español)
Errata (Spanish)

> Download the Member Handbook (Hmong)
Errata (Hmong)

Referrals and Authorizations
 
For some services, your PCP or specialist will need to get pre-approval, or an OK, from CalViva Health before you get them. These are also called prior authorizations. Your PCP will work with CalViva Health to get the pre-approval. Getting a pre-approval may take 5 days or up to an additional 14 days if we need more information from your PCP. If urgent, it will take no more than 72 hours. 
 
Please refer to your CalViva Health Member Handbook for a complete list of services that require a referral or a pre-authorization. The information can be found under Section 3- How to get Care: Referrals and Pre-Approval (prior authorization). You can download the Member Handbook (English) here.

Download the CalViva Health Member Rights and Responsibilities

Medi-Cal for Kids and Teens

Under California and federal law, all children and youth to age 21 enrolled in Medi-Cal have the right to regular check-ups and other preventive and treatment services needed to stay or get healthy.

> Download the Medi-Cal for Kids & Teens: Your Medi-Cal Rights Letter (English)
Download the Medi-Cal for Kids & Teens: Your Medi-Cal Rights Letter (Spanish)
Download the Medi-Cal for Kids & Teens: Your Medi-Cal Rights Letter (Hmong)

> Download the Medi-Cal for Kids & Teens: Teen Brochure (English)
Download the Medi-Cal for Kids & Teens: Teen Brochure (Spanish)
Download the Medi-Cal for Kids & Teens: Teen Brochure (Hmong)

> Download the Medi-Cal for Kids & Teens: Child Brochure (English)
Download the Medi-Cal for Kids & Teens: Child Brochure (Spanish)
Download the Medi-Cal for Kids & Teens: Child Brochure (Hmong)

Continuity of Care Policy

Learn how to continue your care if the status of your health plan changes.

Download the Continuity of Care Policy (English)
Download the Continuity of Care Policy (Español)
Download the Continuity of Care Policy (Hmong)

Please note: There are new options for managing your Digital Medical Records.

Contract Drug List

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

The California Department of Health Care Services (DHCS) maintains the Medi-Cal CDL.

Member Transportation Services Guide

Learn how to receive no-cost transportation services.

> Download the Member Transportation Services Guide (English)
Download the Member Transportation Services Guide (Español)
Download the Member Transportation Services Guide (Hmong)

Disaster Assistance Guide for Immigrant Californians

This guide provides information about the types of federal, state, and local
disaster assistance services available in California.

Disaster Assistance Guide for Immigrant Californians (English)

Population Needs Assessment

The CalViva Health Population Needs Assessment (PNA) report aims to identify the needs of its Medi-Cal members, review available programs and resources, and identify gaps in services. CalViva Health’s PNA development process was designed to meaningfully gather and synthesize data from primary data sources to inform the development of action plans to improve member health outcomes and experiences.

Download the Population Needs Assessment (English)