CommercialPrior AuthMedium impact
25-217 State of Emergency: Assistance to Santa Cruz County from Winter Storm
Health Net·CA·Prior Authorization
Effective date
Feb 14, 2025
We identified it
Jun 20, 2026
Summary
Health Net has temporarily relaxed prior authorization, referral, and prescription requirements for Santa Cruz County members affected by the winter storm state of emergency. The policy allows shortened approval times, extended validity periods, out-of-network services, emergency prescription refills, and extended claim filing deadlines.
Action Required
Immediately: Billing team should contact Health Net Provider Services Center at 800-641-7761 for guidance on expedited prior authorizations and out-of-network approvals for Santa Cruz County patients. Document storm-related impact in patient records. For affected members, process emergency prescription refills and prepare for extended claim filing deadlines.