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MedicaidPrior AuthMedium impact

24-1343 State of Emergency: Bird Flu in California

Health Net·CA·Prior Authorization
Effective date
Dec 18, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

CalViva Health has implemented emergency policy changes due to California's bird flu state of emergency, relaxing prior authorization requirements and extending claim filing deadlines for affected members. The policy allows shortened prior auth timeframes, out-of-network service approvals, and extended prescription refill access for members impacted by the bird flu emergency.

Action Required

Action needed
Immediately: Billing team should contact CalViva Health Provider Services at 888-893-1569 for guidance on shortened prior authorization timeframes and extended claim filing deadlines for members affected by the bird flu emergency. Update billing workflows to accommodate relaxed prior auth requirements and out-of-network service approvals for affected members in Fresno, Kings, and Madera counties.