MedicaidPrior AuthHigh impact
20-313 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 for CalViva Health Medi-Cal members, and eliminating prior authorization requirements for these services. Claims filing deadlines are extended by three months for providers impacted by COVID-19.
Action Required
Immediately: Remove prior authorization requirements for all COVID-19 screening and testing services in billing system. Stop collecting copays, deductibles, and coinsurance from CalViva Health members for COVID-19 related services including office visits, urgent care, and emergency department visits. Update billing staff training to reflect waived cost-sharing. Contact Provider Services at 1-888-893-1569 if your practice is impacted by COVID-19 for claims filing extension guidance.