CommercialPrior AuthMedium impact
22-1036 State of Emergency in Alpine, El Dorado, Inyo, Los Angeles and Placer Counties Due to Ongoing Impacts of Fires/Floods
Health Net·CA·Prior Authorization
Effective date
Nov 19, 2022
We identified it
Jun 20, 2026
Summary
Health Net is temporarily relaxing prior authorization, precertification, and referral requirements for providers in five California counties (Alpine, El Dorado, Inyo, Los Angeles, Placer) affected by fires and floods. The policy also extends claim filing deadlines and allows out-of-network services when contracted providers are unavailable due to the emergency.
Action Required
Immediately: Providers in affected counties (Alpine, El Dorado, Inyo, Los Angeles, Placer) should contact Health Net Provider Services Center at the numbers listed in the policy for guidance on relaxed prior authorization requirements and extended claim filing deadlines. Billing team must track which patients are from these counties and may need special handling for out-of-network approvals and equipment replacement authorizations.