MedicaidPrior AuthMedium impact
23-066 Statewide State of Emergency Due to Winter Storms
Health Net·CA·Prior Authorization
Effective date
Jan 4, 2023
We identified it
Jun 20, 2026
Summary
CalViva Health has implemented emergency flexibilities for winter storm-affected areas, allowing expedited prior authorizations, out-of-network services, extended claims filing deadlines, and suspended prescription refill limitations. Providers can contact 888-893-1569 for guidance on these temporary accommodations.
Action Required
Immediately: Billing team should inform providers in Fresno, Kings, and Madera counties that they can call CalViva Health Provider Services at 888-893-1569 for expedited prior authorizations, out-of-network service approvals, medical equipment replacements, and extended claims filing deadlines for storm-affected patients. Update staff on temporary flexibilities available during the state of emergency.