Medicare AdvantagePrior AuthMedium impact
20-675 State of Emergency: Extreme Weather Conditions and Fires in the State of California
Health Net·CA·Prior Authorization
Effective date
Aug 18, 2020
We identified it
Jun 20, 2026
Summary
Health Net is temporarily relaxing prior authorization and referral requirements for Cal MediConnect Plan members affected by California's state of emergency due to extreme weather and fires. The policy allows easier approval for out-of-network services, medical equipment replacement, extended claim filing deadlines, and emergency prescription refills.
Action Required
Immediately: Billing team should contact Health Net Provider Services Center at 1-855-464-3571 (LA County) or 1-855-464-3572 (San Diego County) for guidance on relaxed prior authorization requirements for affected Cal MediConnect members. Document any emergency services or out-of-network care provided to displaced members. Extended claim filing deadlines are available for providers in impacted areas.