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 Los Angeles and Ventura County providers affected by 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: Update billing workflows to reflect extended timeframes - prior authorizations are automatically extended by 180 days, claims submission deadline extended to 365 days from date of service, and overpayment disputes can be filed within 180 calendar days instead of 30 working days. Billing team should monitor for upcoming Wildfire Crisis Impact Survey and coordinate with assigned Account Manager for any questions. Document any displaced provider locations using alternative settings for care delivery.