California Wildfires:The Governor of California proclaimed a State of Emergency to exist in Los Angeles and Ventura Counties due to the fires and windstorm conditions. The effective date is January 7, 2025 and the expiration date is February 6, 2024 (unless extended).Proclamation of a State of EmergencyPrescription replacements and emergency refills: Currently, the ESI Emergency Access to Benefits program is in effect. This is a strategy that enables retail pharmacists to override select benefit edits and allow a script to process earlier than standard during a government defined emergency. Affected members within the emergency area taking specialty medications will be contacted to discuss alternate delivery arrangements, if needed. This process will remain on in impacted counties for the duration of the executive orders.Mental health services: California is working closely with county behavioral health plans and local programs to ensure continued access to critical behavioral health services. Those who need support can reach out to the CalHOPE Warm Line by calling (833)-317-HOPE (4673) (English) and (833)-642-7696 (Spanish). The CalHOPE Warm Line is a 24/7 peer run hotline that provides free, confidential emotional support to Californians, including those impacted by the Southern California wildfires. Californians can go to CA.gov/LAfires – a hub for information and resources from state, local and federal government. Severe Winter WeatherSeveral Oscar states have declared a State of Emergency which allows for state officials to make critical resources available to communities ahead of any potential storm impacts. If you, or one of your patients, are impacted by severe weather and you need assistance, you can reach out by sending a message through the provider portal or calling us at (855) 672-2755. Currently, the CVS emergency fill process is in effect for states under a government defined State of Emergency. This is a strategy that enables retail pharmacists to use an SCC13 override to bypass the refill-too-soon reject and allow a script to process earlier than standard. Affected members within the emergency area taking specialty medications will be contacted to discuss alternate delivery arrangements, if needed. This process will remain on in impacted counties for the duration of the executive orders.Oscar is here to help your patients access medically necessary health care services. If you, or one of your patients, are impacted by severe weather and you need assistance, you can reach out by sending a message through the provider portal or calling us at (855) 672-2755. If an Oscar member needs assistance, please encourage them to message their Care Team on the Oscar App or call us at (855) 672-2755. If an Oscar member outreaches you with any questions on this event, you can also direct them to Oscar’s Disaster Resource Center. Members can locate open pharmacies by visiting this page: https://healthcareready.org/rxopen/If you are impacted by the severe weather and are experiencing issues preventing you from providing care to members, please contact us to let us know.Hurricane Milton:A state of emergency has been issued in Florida and Georgia due to Hurricane Milton. The state of emergency in Georgia for Hurricane Milton ended 10/16/24. The following are open emergency orders: FloridaExecutive Order 24-214Executive Order 24-215Executive Order 24-264Effective: 10/5/24 - 2/1/25*Currently, the CVS emergency fill process is in effect. This is a strategy that enables retail pharmacists to use an SCC13 override to bypass the refill-too-soon reject and allow a script to process earlier than standard. Affected members within the emergency area taking specialty medications will be contacted to discuss alternate delivery arrangements, if needed. This process will remain on in impacted counties for the duration of the executive orders.Members can locate open pharmacies by visiting this page: https://healthcareready.org/rxopen/Hurricane Helene:A state of emergency has been issued in the following Oscar states: Florida, Georgia, Tennessee, North Carolina and Virginia. The following are open emergency orders: Florida (in effect: 9/23/24 - 3/18/25*)Executive Order 24-208 Executive Order 24-209 OIR issued EO 400385-24Executive Order 24-213Executive Order 24-249Executive Order 25-10North Carolina (in effect: 9/25/24 - 3/1/25)Executive Order No. 315Bulletin 24-B-12Bulletin 24-B-13 Bulletin 24-B-15HB 149 extends the state of emergency issued by EO No. 315 until March 1, 2025.
For our providers in Florida and North Carolina impacted by Hurricane Helene
Currently, the CVS emergency fill process is in effect. This is a strategy that enables retail pharmacists to use an SCC13 override to bypass the refill-too-soon reject and allow a script to process earlier than standard. Affected members within the emergency area taking specialty medications will be contacted to discuss alternate delivery arrangements, if needed. This process will remain on in impacted counties for the duration of the executive orders.Members can locate open pharmacies by visiting this page: https://healthcareready.org/rxopen/Hurricane Debby:A state of emergency has been issued in several Oscar states due to Hurricane Debby. The state of emergency has ended in the following Oscar states: GA, NC, VA, PA, OH, and NJ. The state of emergency remains in effect for Florida and New York by the following executive orders:FloridaExecutive Order 24-156Executive Order 24-157 - Extension (in effect: 8/1/24 - 11/26/24*)Executive Order 24-158Executive Order 24-211Executive Order 24-261Executive Order 25-10New YorkExecutive Order 38 (in effect: 8/9/24 - 2/23/25*)Executive Order 38.1Executive Order 38.2Executive Order 38.3Executive Order 38.4Executive Order 38.5Executive Order 38.6*EO shall remain in effect until date noted within executive order, unless sooner amended or rescinded by further executive order.Currently, the CVS emergency fill process is in effect. This is a strategy that enables retail pharmacists to use an SCC13 override to bypass the refill-too-soon reject and allow a script to process earlier than standard. Affected members within the emergency area taking specialty medications will be contacted to discuss alternate delivery arrangements, if needed. This process will remain on in impacted counties for the duration of the executive orders.Members can locate open pharmacies by visiting this page: https://healthcareready.org/rxopen/Thank you for serving our members every day, and especially during this time.
