SoCal Fires and Impacted Providers

Prior authorization, precertification and referrals
California Dental Network is taking steps to ensure that participating providers in areas affected by the Southern California fires are able to continue providing care for members’ dental needs. This includes extending the duration of prior authorizations, referrals, and pre-treatment estimates by 180 calendar days so that providers can focus on providing care to enrollees rather than having to re-request prior authorization for previously authorized services.

Additional steps we are taking include:

• Extending the timeframes for contracted and non-contracted providers to submit claims to 365 days from the date of services.
• Extending the minimum time for providers to dispute overpayment recouperation from 30 working days to 180 calendar days.
• Allowing displaced providers to deliver care from appropriate alternative settings, such as mobile clinics or temporary locations until September 19, 2025.

Other Important Information
Depending on how long the members need additional assistance, California Dental Network may take additional steps to ensure its members have access to necessary dental services.