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CommercialPrior AuthMedium impact

25-827 State of Emergency: 2025 Winter Storm Recovery

Health Net·CA·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net is temporarily relaxing prior authorization, precertification, and referral requirements for providers in seven California counties affected by 2025 winter storms under state of emergency declarations. The policy allows shortened approval timeframes, extended validity periods, out-of-network approvals, and relaxed prescription refill limitations.

Action Required

Action needed
Immediately: Providers in affected California counties (Humboldt, Mendocino, Modoc, Napa, Shasta, Sonoma, Trinity) should contact Health Net Provider Services Center at 800-641-7761 for guidance on expedited prior authorizations and out-of-network approvals. Direct affected members to Emergency Response Line at 800-400-8987 for prescription assistance and lost insurance cards. Document storm-related impact when requesting authorization extensions or claim filing deadline extensions.