MedicaidPrior AuthMedium impact
23-296 State of Emergency: Severe Winter Storms Impacting 9 More Counties
Health Net·CA·Prior Authorization
Effective date
Mar 12, 2023
We identified it
Jun 20, 2026
Summary
CalViva Health is temporarily relaxing prior authorization, precertification, and referral requirements for members and providers affected by severe winter storms in 9 California counties. The plan is also extending claim filing deadlines and allowing out-of-network services when contracted providers are unavailable due to the emergency.
Action Required
Immediately: Billing team should contact CalViva Health Provider Services at 888-893-1569 for guidance on expedited prior authorizations and extended deadlines for members in affected counties (Alpine, Calaveras, Del Norte, Glenn, Kings, Orange, San Benito, San Joaquin, Trinity). Document storm-related impacts when submitting claims. Monitor for additional policy updates as the emergency situation evolves.