MedicaidPrior AuthMedium impact
23-1013 Update to State of Emergency: Impacts from Tropical Storm for Multiple Counties
Health Net·CA·Prior Authorization
Effective date
Aug 20, 2023
We identified it
Jun 20, 2026
Summary
CalViva Health is providing emergency assistance for members impacted by Tropical Storm Hilary in multiple California counties. The plan will expedite prior authorization approvals, extend validity periods, approve out-of-network services, and suspend prescription refill limitations during the state of emergency.
Action Required
Immediately: Billing teams in affected counties (Fresno, Imperial, Inyo, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, Tulare, Ventura, and Mono) should contact CalViva Health Provider Services at 888-893-1569 for guidance on expedited prior authorization processes, out-of-network service approvals, and extended claims filing deadlines. Document storm-related circumstances for affected members to facilitate emergency coverage provisions.