MedicaidPrior AuthMedium impact
20-720 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
CalViva Health has implemented emergency policy changes for Medi-Cal members in Fresno and Madera counties affected by extreme weather and fires. Prior authorization time limitations are eased, out-of-network services may be approved when usual providers are unavailable, and claims filing deadlines are extended for affected areas.
Action Required
Immediately: Contact CalViva Health Provider Services at 1-888-893-1569 for guidance on eased prior authorization requirements, out-of-network service approvals, and extended claims filing deadlines for members affected by the state of emergency in Fresno and Madera counties. Billing team should document emergency circumstances for affected claims.