Provider guidance for wildfire-impacted areas
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Temporary operational guidance for providers and impacted members in Los Angeles and Ventura Counties affected by 2025 wildfires; it affects participating and non-contracted providers delivering mental health-related services through The Holman Group during the stated period.
Existing authorizations will be extended by 180 calendar days.
Minimum timeframe to submit claims for contacted and non-contracted providers is extended to at least 365 days from date of service.
Providers disputing alleged overpayments will have 180 calendar days to do so instead of 30 working days.
Displaced providers may deliver care from alternative appropriate settings between March 19, 2025 and September 19, 2025.
Wildfire Impact Operational Criteria
Wildfire impact operational criteria
Operational criteria and allowances for providers impacted by the 2025 Los Angeles and Ventura county wildfires:
ALL of the following
ALL of the following
- Extend the duration of existing authorizations by 180 calendar days so previously authorized services remain active without requiring a re-request for prior authorization.
ALL of the following
- Contacted and non‑contracted providers impacted by the wildfires are allowed at least 365 days from the date of service to submit claims.
ALL of the following
- If The Holman Group alleges an overpayment, the provider will have 180 calendar days to dispute the determination (extended from 30 working days).
ALL of the following
- Displaced providers (unable to deliver services at their usual location due to wildfire‑related evacuations or closures) may deliver care from alternative appropriate settings (for example, mobile clinics or temporary locations) between March 19, 2025 and September 19, 2025.
Operational contacts
- Providers with questions should contact The Holman Group Provider Relations Department at 800-321-2843.
Required Provider Actions and Authorization Rules
Authorization extension — 180‑day automatic extension
Extend the duration of existing authorizations by 180 calendar days for providers impacted by the 2025 Los Angeles and Ventura county wildfires so previously authorized services remain active without re-requesting prior authorization.
- Applies to existing authorizations for services previously authorized prior to or during the wildfire impact.
- Purpose: allow providers to focus on delivering care rather than re-requesting prior authorizations.
Definitions and Scope
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.