MedicaidPrior AuthMedium impact
24-1344 State of Emergency: Bird Flu in California
Health Net·CA·Prior Authorization
Effective date
Dec 18, 2024
We identified it
Jun 20, 2026
Summary
Health Net Community Health Plan of Imperial Valley has implemented emergency provisions due to California's bird flu state of emergency, including shortened prior authorization timeframes, extended claim filing deadlines, and allowances for out-of-network services when contracted providers become unavailable. The policy also removes prescription refill limitations and allows emergency medication refills at out-of-network pharmacies for affected members.
Action Required
Immediately: Billing team should contact Provider Services at 833-236-4141 for guidance on shortened prior authorization timeframes and extended claim filing deadlines for patients affected by the bird flu emergency. Front desk staff should inform affected patients they can obtain emergency prescription refills at out-of-network pharmacies and contact Member Services at 833-236-4141 for lost insurance cards or health questions.