22-1036 State of Emergency in Alpine, El Dorado, Inyo, Los Angeles and Placer Counties Due to Ongoing Impacts of Fires/Floods
Date: 11/23/22
Support for Health Net members impacted by the fires and/or floods in these counties
In support of ongoing response and recovery efforts, on November 19, 2022, Governor Gavin Newsom declared a state of emergency in five California counties. This is to assist communities impacted by the Mosquito Fire (El Dorado and Placer counties) and communities in Los Angeles County to address Route Fire impacts. The Governor also proclaimed a state of emergency in Alpine and Inyo counties due to damage from widespread flash flooding in August.
We want to help ensure that members who have been impacted (because they or their usual health care providers have been temporarily displaced) have continued access to health care services and prescriptions during the state of emergency.
Here is what you need to know.
Prior authorization, precertification and referrals
Health Net* is taking steps to ensure that participating providers in areas affected by these wildfires and flash floods are able to continue providing care for members’ medical needs.
Participating providers may call the Provider Services Center using the contact information in the right-hand column of this page for guidance on:
- Easing of time limitations for prior authorizations, precertification and referrals for treatment.
- Approval for out-of-network services in the event a contracting provider or facility becomes unavailable.
- Authorization for the replacement of medical equipment or supplies.
Filing claims
The deadline to file claims for providers impacted by the fires and flooding in the five counties will be extended. Providers may contact the Provider Services Center using the contact information below for additional guidance on claims extension time frames.
Prescription information
Health Net will approve any essential prescription medications (with current copayments and deductibles) for any members in Alpine, El Dorado, Inyo, Los Angeles or Placer counties whose medication access continues to be affected by these fires or floods. Providers should inform their Health Net patients that to obtain an emergency supply, affected members can return to the pharmacy where the original prescription was filled. If the pharmacy is not open due to the state of emergency, affected members can contact Health Net’s Emergency Response line at 800-400-8987, 8 a.m. to 6 p.m. Pacific time (PT), for questions or assistance.
Coping assistance
Health Net members who continue to be impacted due to the Mosquito or Route fires, or flash flooding, may contact MHN, Health Net’s behavioral health administrator, for referrals to mental health counselors, local resources or telephonic consultations to help them cope with stress, grief, loss or other trauma resulting from the fires or floods. Affected members may contact MHN 24 hours a day, seven days a week at 800-227-1060.
Additional information
Depending on how these fires and floods continue to impact communities, Health Net may make additional changes to its policies as needed to ensure members have access to necessary health care services.
If you have questions regarding the information contained in this update, contact the applicable Health Net Provider Services Center within 60 days, by phone or through the Health Net provider website.
Managed Health Network, LLC (MHN) is a subsidiary of Health Net, LLC and Centene Corporation. The MHN family of companies includes Managed Health Network and MHN Services, LLC. Managed Health Network is a registered service mark of Managed Health Network, LLC. All rights reserved.
Provider Services
Line of business | Phone number | Email address |
|---|---|---|
EnhancedCare PPO (IFP & SBG) | 844-463-8188 | |
Health Net Employer Group HMO, POS, HSP, PPO, & EPO | 800-641-7761 | |
IFP (CommunityCare HMO, PPO, PureCare HSP, & PureCare One EPO) | 888-926-2164 | |
Medicare (Individual & Employer Group) | 800-929-9224 | |
Cal MediConnect – Los Angeles County | 855-464-3571 | |
Medi-Cal | 800-675-6110 | N/A |
This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary providers, Community Supports (CS) Providers, and Enhanced Care Management (ECM) Providers.
For Medi-Cal, this information applies to Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties.