CommercialPrior AuthMedium impact
23-295 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
Health Net is temporarily relaxing prior authorization, precertification, and referral requirements for providers in 9 California counties affected by severe winter storms. The insurer will expedite approvals, allow out-of-network services when contracted providers are unavailable, and extend claim filing deadlines for impacted areas.
Action Required
Immediately: Billing team should contact Health Net Provider Services Center at appropriate phone numbers (844-463-8188 for Ambetter, 800-641-7761 for Employer Group, etc.) for guidance on expedited prior authorizations and out-of-network service approvals for patients in affected California counties (Calaveras, Del Norte, Glenn, Kings, San Benito, San Joaquin, Alpine, Orange, Trinity). Update staff to inform patients about emergency prescription refill options and direct them to call 800-400-8987 for assistance.