CommercialPrior AuthMedium impact
25-1042 State of Emergency: TCU Lightning Complex Fires in Calaveras and Tuolumne Counties
Health Net·CA·Prior Authorization
Effective date
Sep 19, 2025
We identified it
Jun 20, 2026
Summary
Health Net is temporarily relaxing prior authorization, precertification, and referral requirements for providers in Calaveras and Tuolumne Counties due to state of emergency from TCU Lightning Complex fires. Providers can get expedited approvals, out-of-network service authorizations, and extended claim filing deadlines for affected members.
Action Required
Immediately: Providers in Calaveras and Tuolumne Counties should contact Health Net Provider Services Center at appropriate phone numbers (844-463-8188 for Ambetter, 800-641-7761 for Employer Group, 800-675-6110 for Medi-Cal) for guidance on expedited prior authorizations, out-of-network approvals, and extended claim filing deadlines. Inform affected patients about Emergency Response Line at 800-400-8987 for prescription and insurance card assistance.