CommercialPrior AuthMedium impact
21-633 State of Emergency: Caldor Fire in Alpine, Amador and Placer Counties
Health Net·CA·Prior Authorization
Effective date
Aug 30, 2021
We identified it
Jun 20, 2026
Summary
Health Net has temporarily relaxed prior authorization, precertification, and referral requirements for providers and members affected by the Caldor Fire in Alpine, Amador, and Placer counties. The policy also extends claim filing deadlines and allows approval for out-of-network services when contracted providers become unavailable due to the emergency.
Action Required
Immediately: Billing team should contact Health Net Provider Services Center for guidance on relaxed prior authorization timelines and out-of-network service approvals for patients in fire-affected counties. Update claim filing procedures to accommodate extended deadlines for providers impacted by the Caldor Fire. Document patient locations to identify those eligible for emergency policy accommodations.