23-407 State of Emergency: Significant Storm-Related Impacts Affecting Four More Counties
Date: 04/25/23
Support for impacted Health Net members
On April 20, 2023, Governor Gavin Newsom declared a state of emergency for an additional four counties as a result of heavy rainfall, high winds, flooding, downed trees, and damage to roads and critical infrastructure, which began in February: Contra Costa, Riverside, San Diego and Yolo counties.
At Gov. Newsom’s request, President Biden has issued a Presidential Emergency Declaration and a Presidential Major Disaster Declaration, which have since been expanded to include additional counties to bolster state and local storm response efforts.
Health Net is providing assistance to members affected by the significant storm-related impacts. 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 significant storm-related impacts 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:
- Shortening time limits for health care service plans to approve prior authorizations, precertification, or referrals, and extending the time that prior authorizations, precertification, and referrals for treatment remain valid.
- Approving 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 significant storm-related impacts will be extended. Providers may contact the Provider Services Center using the contact information in the table 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 an area affected by the significant storm-related impacts whose medication was lost or could not be obtained due to these impacts. Health Net will also suspend prescription refill limitations and allow an impacted enrollee to refill their prescriptions at an out-of-network pharmacy. 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 Health Net’s Emergency Response Line at 800-400-8987, 8 a.m. to 6 p.m. Pacific time, for questions or assistance.
Member insurance cards and health care information
Members whose insurance cards have been lost or left behind due to the state of emergency and members who have health care questions during the state of emergency can contact Health Net’s Emergency Response Line at 800-400-8987, 8 a.m. to 6 p.m. Pacific time, for questions or assistance.
Coping assistance
Members who lost their homes or have been evacuated due to the significant storm-related impacts 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 effects of the significant storm-related impacts. Affected members may contact MHN 24 hours a day, seven days a week at 800-227-1060.
Additional information
Depending on how the significant storm-related impacts progress, 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 Provider Services Center by phone or online through the provider portal.
Line of business | Phone number | Email address |
IFP Ambetter PPO | ||
IFP Ambetter HMO | ||
Health Net Employer Group HMO, POS, HSP, PPO, & EPO | ||
Medicare (Individual & Employer Group) | ||
Medi-Cal | 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.