22-658 State of Emergency to Support State's Response to Monkeypox

Date: 08/10/22

Support for California Health & Wellness Plan members impacted by monkeypox

This information applies to Physicians, Independent Practice Associations (IPAs), Hospitals, and Ancillary providers.

On August 1, 2022, Governor Gavin Newsom declared a statewide state of emergency to support the state’s response to monkeypox. California Health & Wellness Plan (CHWP) 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

CHWP is taking steps to ensure that participating providers with CHWP patients affected by monkeypox are able to provide care for members’ medical needs.

Participating providers may call the Provider Services Center at 877-658-0305 for guidance on:

• Easing of time limitations for prior authorizations 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 with monkeypox will be extended. Providers may contact the Provider Services Center at 877-658-0305 for additional guidance on claims extension time frames.

Prescription information

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

Coping assistance

CHWP members who have been affected by monkeypox may contact CHWP 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 members should call 877-658-0305.

Additional information

Depending on how the monkeypox situation progresses, CHWP 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 CHWP at 877-658-0305.