MedicaidPrior AuthMedium impact
24-301 Update to State of Emergency: Winter Storms to Include 11 Additional Counties
Health Net·CA·Prior Authorization
Effective date
Mar 22, 2024
We identified it
Jun 20, 2026
Summary
CalViva Health has temporarily relaxed prior authorization, precertification, and referral requirements for providers in 11 California counties affected by winter storm emergencies. The policy also extends claim filing deadlines and allows out-of-network services when contracted providers are unavailable due to storm impacts.
Action Required
Immediately: Billing team should contact CalViva Health Provider Services at 888-893-1569 for guidance on shortened prior authorization timeframes and extended validity periods for existing authorizations. Document any out-of-network services provided due to storm displacement and contact Provider Services for approval guidance. Take advantage of extended claim filing deadlines for storm-impacted services.