MedicaidPrior AuthMedium impact
25-1422 State of Emergency: Late December Storms Throughout California
Health Net·CA·Prior Authorization
Effective date
Dec 24, 2024
We identified it
Jun 20, 2026
Summary
CalViva Health (Medi-Cal) is temporarily relaxing prior authorization requirements and extending claim filing deadlines for providers in California counties affected by December 2024 storms. The plan will approve out-of-network services, allow prescription refills at out-of-network pharmacies, and provide authorization for replacement medical equipment during the state of emergency.
Action Required
Immediately: Providers treating CalViva Health Medi-Cal members from affected California counties (Los Angeles, Orange, Riverside, San Bernardino, San Diego, Shasta, Fresno, Kings, Madera) should contact Provider Services at 888-893-1569 for guidance on expedited prior authorizations, out-of-network service approvals, and extended claim filing deadlines. Document storm-related impacts in patient records to support authorization requests.