CommercialPrior AuthHigh impact
20-312 State of Emergency: Coronavirus (Known as COVID-19) in the State of California
Health Net·CA·Prior Authorization
Effective date
Mar 4, 2020
We identified it
Jun 20, 2026
Summary
Health Net is waiving all cost-sharing for COVID-19 screening and testing services, and eliminating prior authorization, precertification, and step therapy requirements for these services during the California state of emergency. Claims filing deadlines are extended by three months for affected providers.
Action Required
Immediately: Remove prior authorization, precertification, and step therapy requirements for all COVID-19 screening and testing services in billing system. Update encounter forms to reflect waived member cost-sharing for COVID-19 related visits including office, urgent care, and emergency department visits. Billing team must ensure no balance billing occurs for COVID-19 screening and testing. Contact Health Net if office operations are impacted by COVID-19.