22-914 State of Emergency Due to Fork Fire in Madera County

Date: 10/18/22

Support for CalViva Health members impacted by fire

On September 7, 2022, Governor Gavin Newsom declared a state of emergency in Madera County due to the Fork Fire. Though there may no longer be an immediate threat from this fire, CalViva Health is providing assistance to members in Madera County affected by it.

CalViva Health wants 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 and referrals

Health Net*, on behalf of CalViva Health, is taking steps to ensure that participating providers in areas affected by the wildfire and its aftermath are able to continue providing 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 and referrals for services.
• 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 Fork Fire will be extended. Providers may contact the Provider Services Center at 888-893-1569 for additional guidance on claims extension time frames.

Prescription information

Any essential prescription medications will be approved for any CalViva Health member in Madera County whose medication was lost in the fire or left behind in an evacuation. Providers should inform their 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 the CalViva Health Medi-Cal Member Services Department at 888-893-1569 for questions or assistance.

Coping assistance

CalViva Health members who lost their homes or who have been evacuated due to the Fork Fire may contact MHN, the behavioral health subsidiary, for referrals to behavioral health counselors, local resources or telephonic consultations to help them cope with stress, grief, loss, or other trauma resulting from the wildfire. For the duration of the Fork Fire and its immediate aftermath, affected CalViva Health members may contact the CalViva Health Medi-Cal Member Services Department at 888-893-1569.

Additional information

Depending on how the Fork Fire 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.

 

This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary providers, Community Supports (CS) Providers, and Enhanced Care Management (ECM) Providers.

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