Following Gov. Newsom’s declaration of a State of Emergency in San Joaquin County, Health Net, one of California’s most experienced Medi-Cal managed care health plans and company of Centene Corporation, is taking immediate action to support those affected by the Victoria Island Incident. The company’s priority is ensuring both its members and healthcare providers have the resources they need during this critical time.
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Member Prescription Information
During a declared State of Emergency, impacted members have two options to secure an emergency supply of their medications:
- Members can fill their prescription at the original pharmacy if it is open.
- If the original pharmacy is not open, members can call Health Net at 1-800-400-8987. We will suspend refill limitations so they can get their prescriptions at an out-of-network pharmacy.
Coping Support for Members
Members can call Health Net Behavioral Health Services for crisis support 24 hours a day, seven days a week by calling 1-800-400-8987. This includes:
- Support to help them deal with grief, stress or trauma
- Referrals to mental health counselors, local services and telephone consultations
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Members: Video Medical Appointments
If members cannot reach their primary care provider during a declared State of Emergency, Health Net offers telehealth services at no cost. Members can find appointment instructions in two places:
- On the back of their Health Net ID card
- On HealthNet.com after registering and signing in
Access to Social Services
To connect with local community resources, members can call 2-1-1 or visit 211.org for help with:
- Emergency shelter, food and transportation
- Social services and financial assistance
- Legal guidance from verified agencies
Information for Healthcare Providers
During a declared State of Emergency, doctors and nurse practitioners may call Health Net at 1-800-641-7761 for assistance. To support these participating providers in affected areas, Health Net will:
- Extend grace periods for notifications, beginning on the admission date, for acute services, post-acute care, durable medical equipment (DME), medical supplies and home health care services
- Waive prior authorization – however, our notification requirement will remain in effect despite relaxed deadlines
In addition, Health Net will:
- Authorize out-of-network services if a contracting provider or facility becomes unavailable
- Grant post-admission notification approvals for impacted facilities.
- Accept updated clinical documentation for continued-stay reviews.
- Authorize the replacement of medical equipment or supplies.
- Suspend prescription refill limitations for impacted enrollees
Ongoing Support & Updates
As the situation evolves, Health Net may take further action to support members and providers. For the latest updates, visit HealthNet.com.
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Source – PR Newswire
