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MedicaidPrior AuthMedium impact

26-650 State of Emergency: Impacts from Late September 2025 Storm

Health Net·CA·Prior Authorization
Effective date
Apr 17, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

Community Health Plan of Imperial Valley is temporarily relaxing prior authorization, referral, and prescription requirements for members affected by the late September 2025 storm emergency in Imperial County. The plan is allowing shortened approval times, extended validity periods, out-of-network services, and emergency prescription refills without normal limitations.

Action Required

Action needed
Immediately: Billing team should contact Provider Services Center for guidance on expedited prior authorization processes for Community Health Plan of Imperial Valley members in Imperial County affected by the storm emergency. Update workflows to accommodate shortened approval times and extended validity periods for existing authorizations. Prepare to process out-of-network claims if contracting providers become unavailable.