MedicaidAdministrativeHigh impact
Southern California Fires and Flexibilities to Impacted Providers
L.A. Care Health Plan·CA·Provider Communication
Effective date
Mar 19, 2025
We identified it
Jun 20, 2026
Summary
L.A. Care Health Plan has implemented emergency flexibilities for providers affected by Southern California wildfires, extending prior authorization durations by 180 days, claims submission timeframes to 365 days, and overpayment dispute periods to 180 days. These measures remain in effect until the state of emergency is lifted.
Action Required
Immediately: Billing team must update workflows to reflect extended timeframes - prior authorizations are automatically extended 180 days, claims submission deadline extended to 365 days from date of service, and overpayment disputes extended to 180 calendar days. Update billing system reminders and staff training. Monitor L.A. Care website for survey requests regarding wildfire impact. Contact assigned Account Manager with questions.