CommercialPrior AuthMedium impact
23-282 State of Emergency: Severe Winter Storms Impacting 21 More Counties
Health Net·CA·Prior Authorization
Effective date
Mar 9, 2023
We identified it
Jun 20, 2026
Summary
Health Net is temporarily relaxing prior authorization, precertification, and referral requirements for providers in 21 California counties affected by severe winter storm emergencies. The policy allows shortened approval timeframes, extended validity periods for existing authorizations, out-of-network service approvals, and extended claims filing deadlines.
Action Required
Immediately: Contact Health Net Provider Services Center at appropriate line of business phone numbers when treating patients from the 21 affected California counties (Butte, El Dorado, Fresno, Humboldt, Imperial, Inyo, Lake, Mendocino, Merced, Monterey, Napa, Placer, Plumas, Sacramento, San Francisco, San Mateo, Santa Clara, Santa Cruz, Stanislaus, Tuolumne, Yuba) to request expedited prior authorizations, out-of-network service approvals, or claims filing extensions. Billing team should flag claims from these counties for potential deadline extensions and inform affected patients about emergency prescription and member services hotline (800-400-8987).