All PlansPrior AuthHigh impact
20-314 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 prior authorization, precertification, and step therapy requirements for all COVID-19 screening and testing services during California's state of emergency. The policy also waives member cost-sharing for COVID-19 testing and related visits, and extends claim filing deadlines by three months for affected providers.
Action Required
Immediately: Stop requiring prior authorization for all COVID-19 screening and testing services. Update billing system to remove precertification requirements for COVID-19 related visits including office, urgent care, and emergency department visits. Billing team must ensure no member cost-sharing is collected for COVID-19 testing. Contact Health Net if office operations are impacted by COVID-19. Review Health Net's COVID-19 alerts page regularly for updates.