Welcome to the Health Net of California and CalViva Health Plan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in using the RadMD Web site to obtain and check authorizations.
Radiology Benefits Management Program
- Provider Update 3/1/2019 (PDF 130)
- Provider Update 3/1/2019 (PDF 132)
- HealthNet of California Ordering Provider Quick Reference Guide
- HealthNet of California Rendering Provider Quick Reference Guide
- HealthNet of California Frequently Asked Questions
- HealthNet of California Provider Training PPT
- HealthNet of California Utilization Review Matrix-2019
- HealthNet of California Tip Sheet
- HealthNet of California Pediatric Tip Sheet
- HealthNet of California Prior Authorization Checklist
Cardiac
- HealthNet of California Cardiac Checklist
- HealthNet of California Cardiac Frequently Asked Questions
- HealthNet of California Cardiac Solution Tip Sheet
- HealthNet of California Cardiac Tip Sheet MPI vs Stress Echo
Clinical Guidelines
- Clinical Guidelines
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Refer to the Utilization Review Matrix document to view specific codes managed by NIA