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25-395 Relief for Providers Impacted by Southern California Wildfires

Health Net·CA·Provider News
Effective date
Jan 7, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net is providing timeline extensions and operational flexibilities for providers in Los Angeles and Ventura counties displaced by wildfires. Key changes include extending prior authorization durations from 90 to 180 days, extending claims submission deadlines to 365 days, and allowing temporary care delivery from alternative locations.

Action Required

Action needed
Immediately: Billing teams in Los Angeles and Ventura counties should update claims submission tracking to reflect the extended 365-day filing deadline for services from January 7, 2025 forward. Track existing prior authorizations submitted between January 7-March 19, 2025 as having 180-day duration instead of 90 days. If notified of overpayments between these dates, note the extended 180-day dispute timeframe. Providers may deliver care from alternative locations through September 19, 2025.