MedicaidPrior AuthMedium impact
23-253 State of Emergency: Severe Winter Storms Impacting Multiple Counties
Health Net·CA·Prior Authorization
Effective date
Mar 1, 2023
We identified it
Jun 20, 2026
Summary
CalViva Health is providing emergency assistance to Medi-Cal members affected by severe winter storms in 13 California counties. Prior authorization, precertification, and referral requirements are being relaxed, with shortened approval times, extended validity periods, and approval for out-of-network services when contracted providers are unavailable.
Action Required
Immediately: Contact CalViva Health Provider Services at 888-893-1569 if providing care to members from affected counties (Amador, Kern, Los Angeles, Madera, Mariposa, Mono, Nevada, San Bernardino, San Luis Obispo, Santa Barbara, Sierra, Sonoma, Tulare) for guidance on expedited prior authorizations, out-of-network approvals, and extended claims filing deadlines. Billing staff should flag these members for special handling and document storm-related circumstances.