22-657 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.

This information applies to Medi-Cal in Fresno, Kings and Madera counties.

Support for CalViva Health 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. CalViva Health 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 and referrals

Health Net*, on behalf of CalViva Health, is taking steps to ensure that participating providers with CalViva Health patients affected by monkeypox are able to provide care for members’ medical needs.

Participating providers may call the Provider Services Center at 888-893-1569 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 at 888-893-1569 for additional guidance on claims extension time frames.

Prescription information

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

Coping assistance

CalViva Health members statewide who have been affected by monkeypox may contact MHN, the 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 CalViva Health members may contact the CalViva Health Medi-Cal Member Services Department at 888-893-1569.

Additional information

Depending on how the monkeypox situation progresses, additional changes to policies may be made as needed to ensure members have access to necessary health care services.

If you have questions regarding the information contained in this update, contact CalViva Health at 888-893-1569.

 

 

 

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.