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CommercialPrior AuthMedium impact

24-1221 State of Emergency: Mountain Fire in Ventura County

Health Net·CA·Prior Authorization
Effective date
Nov 7, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net is temporarily relaxing prior authorization, precertification, and referral requirements for providers in Ventura County affected by the Mountain Fire emergency. The policy also extends claim filing deadlines and allows out-of-network services when regular providers become unavailable.

Action Required

Action needed
Immediately: Billing team should contact Health Net Provider Services Center for guidance on expedited prior authorizations and extended claim filing deadlines for Ventura County patients affected by the Mountain Fire. Document patient fire-related displacement status. Contact 844-463-8188 (Ambetter), 888-926-2164 (Ambetter HMO), or 800-641-7761 (Employer Group) for specific guidance on each affected patient case.