CommercialPrior AuthMedium impact
22-794 State of Emergency Due to Fairview and Mosquito Fires in Riverside, El Dorado and Placer Counties
Health Net·CA·Prior Authorization
Effective date
Sep 8, 2022
We identified it
Jun 20, 2026
Summary
Health Net is temporarily relaxing prior authorization, precertification, and referral requirements for providers in Riverside, El Dorado, and Placer counties due to wildfire emergencies declared on September 8, 2022. The policy also extends claim filing deadlines and allows out-of-network services when contracted providers are unavailable.
Action Required
Immediately: Billing team should contact Health Net Provider Services Center at appropriate phone numbers (800-641-7761 for HMO/PPO, 800-675-6110 for Medi-Cal, etc.) for guidance on extended prior authorization timelines, out-of-network service approvals, and claim filing deadline extensions for patients in affected counties. Document any emergency authorizations received and track extended filing deadlines for wildfire-impacted claims.