CommercialPrior AuthMedium impact
26-651 State of Emergency: Storm and Fire Impacts from September 2025 through January 2026
Health Net·CA·Prior Authorization
Effective date
Sep 1, 2025
We identified it
Jun 20, 2026
Summary
Health Net is providing emergency assistance to members affected by storms and fires from September 2025 through January 2026 in several California counties. The policy relaxes prior authorization requirements, extends claim filing deadlines, and allows out-of-network services for providers and members in disaster-affected areas.
Action Required
Immediately: Billing team should contact Health Net Provider Services at appropriate phone numbers (844-463-8188 for Ambetter, 800-641-7761 for Employer Group, etc.) for guidance on shortened prior authorization timeframes, extended claim filing deadlines, and approval for out-of-network services if practice or patients are in affected counties (Imperial, Santa Barbara, Santa Cruz, Mendocino, Sonoma, Ventura, Humboldt). Document any emergency circumstances for patients impacted by disasters when submitting claims or prior authorizations.