CommercialPrior AuthMedium impact
20-719 State of Emergency: Extreme Weather Conditions and Fires in California
Health Net·CA·Prior Authorization
Effective date
Sep 3, 2020
We identified it
Jun 20, 2026
Summary
Health Net is temporarily waiving prior authorization, precertification, and referral requirements for providers in California counties affected by extreme weather and fires. The insurer is also extending claim filing deadlines and approving out-of-network services when contracted providers are unavailable due to the emergency.
Action Required
Immediately: Billing team should contact Health Net Provider Services at appropriate phone numbers (1-844-463-8188 for EnhancedCare PPO, 1-800-641-7761 for Employer Group plans, etc.) to clarify extended claim filing deadlines for emergency-related services. Document all emergency-related services provided to Health Net members in affected counties (Fresno, Madera, Mariposa, San Bernardino, San Diego). Submit out-of-network service authorizations when contracted providers are unavailable.