Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with CalViva Health before sending sensitive documents. FaxFlow is not affiliated with this organization.
CalViva Health fax number
(833) 701-0051
Care Ride Unit (NEMT prior authorization)
Used for: Non-Emergency Medical Transportation (NEMT) prior authorization submission
Fax destination details
- Department
- Care Ride Unit (NEMT prior authorization)
- Purpose
- Non-Emergency Medical Transportation (NEMT) prior authorization submission
- Form
- Physician Certification Statement (PCS) — Non-Emergency Medical Transportation Physician Certification Statement (PCS)
- Address
- CalViva Health Administrative Office, 7625 N. Palm Ave., Suite 109, Fresno, CA 93711
- Voice phone
- 1-888-893-1569
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fax the signed PCS form to Health Net's Care Ride Unit at 833-701-0051 to obtain NEMT authorization; the PCS form indicates medical necessity criteria and is valid for up to one year.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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