MedicaidPrior AuthMedium impact
22-607 State of Emergency: Oak Fire in Mariposa County
Health Net·CA·Prior Authorization
Effective date
Jul 23, 2022
We identified it
Jun 20, 2026
Summary
CalViva Health has temporarily relaxed prior authorization requirements and extended claim filing deadlines for providers affected by the Oak Fire state of emergency in Mariposa County. The policy allows easier approval for out-of-network services, medical equipment replacement, and emergency prescription refills for displaced members.
Action Required
Immediately: Billing team should contact CalViva Health Provider Services at 888-893-1569 for guidance on relaxed prior authorization timelines, out-of-network service approvals, and extended claim filing deadlines if your practice serves CalViva Health Medi-Cal members in Fresno, Kings, or Madera counties affected by the Oak Fire emergency.