CommercialPrior AuthMedium impact
23-407 State of Emergency: Significant Storm-Related Impacts Affecting Four More Counties
Health Net·CA·Prior Authorization
Effective date
Apr 20, 2023
We identified it
Jun 20, 2026
Summary
Health Net is temporarily relaxing prior authorization, referral, and precertification requirements for providers in four storm-affected California counties (Contra Costa, Riverside, San Diego, Yolo) during the state of emergency. They are also extending claim filing deadlines and allowing out-of-network services when in-network providers are unavailable.
Action Required
Immediately: Contact Health Net Provider Services at appropriate line-of-business phone numbers when treating members from storm-affected counties (Contra Costa, Riverside, San Diego, Yolo) to request shortened prior authorization timeframes, extended authorization validity periods, or approval for out-of-network services. Billing team should also utilize extended claim filing deadlines for affected providers and inform patients about emergency prescription refill options at 800-400-8987.