MedicaidPrior AuthMedium impact
22-657 State of Emergency to Support State's Response to Monkeypox
Health Net·CA·Prior Authorization
Effective date
Aug 1, 2022
We identified it
Jun 20, 2026
Summary
CalViva Health has implemented emergency measures for monkeypox-affected members, including relaxed prior authorization time limits, approval for out-of-network services when needed, extended claims filing deadlines, and automatic approval of essential prescription medications. Providers should call 888-893-1569 for guidance on these temporary accommodations.
Action Required
Immediately: Billing team should contact CalViva Health Provider Services Center at 888-893-1569 for guidance when treating monkeypox-affected members to obtain expedited prior authorizations, approval for out-of-network referrals if needed, and extended claims filing timeframes. Document monkeypox-related care to ensure proper processing under emergency provisions.