CommercialCoverageMedium impact
23-114 Receive Reimbursement for Business Expenses Related to Monkeypox Treatment
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net California will cover Monkeypox testing, vaccinations, and therapeutics without cost-sharing, prior authorization, or utilization management during the California State of Emergency. Providers can also receive reimbursement for business expenses including PPE and additional clinical staff time for Monkeypox-related patient encounters.
Action Required
Immediately: Billing team should contact Health Net Provider Services to understand claims extension timeframes for Monkeypox-related services. Update billing workflows to ensure members obtain Monkeypox services from in-network providers when available. For out-of-network needs, coordinate with Health Net for member access assistance.