CommercialPrior AuthMedium impact
24-127 State of Emergency Due to Intense Rainfall in San Diego and Ventura Counties
Health Net·CA·Prior Authorization
Effective date
Jan 23, 2024
We identified it
Jun 20, 2026
Summary
Health Net is temporarily relaxing prior authorization, precertification, and referral requirements for providers in San Diego and Ventura counties due to the state of emergency from severe rainfall. The policy allows shortened approval times, extended validity periods, out-of-network service approvals, and emergency prescription refills for affected members.
Action Required
Immediately: Providers in San Diego and Ventura counties should contact Health Net Provider Services Center at designated phone numbers (844-463-8188 for Ambetter, 800-641-7761 for Employer Group, etc.) for guidance on expedited prior authorizations, out-of-network approvals, and medical equipment replacement authorizations. Direct affected patients to call Health Net's Emergency Response Line at 800-400-8987 for prescription refills and lost insurance cards. Monitor for additional policy updates as the emergency situation evolves.