22-656 State of Emergency to Support State's Response to Monkeypox

Date: 08/10/22

This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals and Ancillary providers.

For Medi-Cal, this information applies to Kern, Los Angeles, Riveside, Sacramento, San Bernardino, San Diego, San Joaquim, Stanislaus and Tulare counties.

Support for Health Net members impacted by monkeypox

On August 1, 2022, Governor Gavin Newsom declared a statewide state of emergency to support the state’s response to monkeypox. Health Net* is providing assistance to members statewide who are affected by monkeypox.

We want to help ensure that members who have been impacted 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 with Health Net patients affected by monkeypox are able to provide care for members’ medical needs.

Participating providers may call the Provider Services Center using the contact information listed 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 cannot treat a member affected by monkeypox.

Filing claims

The deadline to file claims for providers impacted by members affected by monkeypox will be extended. Providers may contact the Provider Services Center listed below for additional guidance on claims.

Prescription information

Health Net will approve any essential prescription medications (with current copayments and deductibles) for any member statewide who is affected by monkeypox.

Coping assistance

Health Net members statewide who have been affected by monkeypox 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, or other trauma resulting from the outbreak. For the duration of the monkeypox outbreak, affected members may contact MHN 24 hours a day, seven days a week at 800-227-1060.

Additional information

Depending on how the monkeypox 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 as listed in the table below:

Line of business	Phone number	Email address
EnhancedCare PPO (IFP & SBG)	844-463-8188	provider_services@healthnet.com
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
Cal MediConnect – San Diego County	855-464-3572
Medi-Cal	800-675-6110	N/A

 

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.