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.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, April Sabino.
Update on COVID-19
Radiology Benefits Management Program
- Provider Update 3/1/2019
- Provider Update 3/1/2019
- 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-2020
- 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
CalViva Health
- CalViva Health Frequently Asked Questions
- CalViva Health Rendering Provider Quick Reference Guide
- CalViva Health Provider Training PPT
- CalViva Health Utilization Review Matrix-2020
- CalViva Health Cardiac Checklist
- CalViva Health Tip Sheet MPI vs Stress Echo
- CalViva Health Tip Sheet
RadMD User References
- RadMD Flyer
- RadMD Access for Ordering Providers
- RadMD for Imaging Providers
- RadMD Quick Start Guide
- RadMD Upload Feature
Recorded General Trainings
Recorded RadMD Demos
Clinical Guidelines
- Clinical Guidelines
-
Refer to the Utilization Review Matrix document to view specific codes managed by NIA