22-608 State of Emergency: Oak Fire in Mariposa County
Date: 07/26/22
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 Stanislaus county.
Support for Health Net members impacted by fire
On July 23, 2022, Governor Gavin Newsom declared a state of emergency in Mariposa County due to the Oak Fire. Health Net* is providing assistance to members affected by the fire.
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 the Oak Fire are able to continue providing care for members’ medical needs.
Participating providers may call the Provider Services Center below 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 Oak Fire will be extended. Providers may contact the Provider Services Center 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 member in Mariposa County whose medication was lost in the fire or remained behind during an evacuation. 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 lost their homes or have been evacuated due to the Oak Fire may contact MHN, Health Net’s behavioral health subsidiary, 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 fire. For the duration of the fire and its immediate aftermath, affected members may contact MHN 24 hours a day, seven days a week at 800‐227‐1060.
Additional information
Depending on how the fire situation progresses, 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.
Provider Service Center:
- Ambetter from Health Net IFP EnhancedCare PPO - 844‐463‐8188
- Health Net Employer Group HMO, POS, HSP, PPO, & EPO - 800‐641‐7761
- Ambetter from Health Net IFP CommunityCare HMO, PPO, PureCare HSP, & PureCare One EPO - 888‐926‐2164
- Medi‐Cal (including CS and ECM providers) - 800‐675‐6110