The Centers for Medicare & Medicaid Services (CMS) announced today that additional resources and flexibilities are available in response to the 2025 Southern California Wildfires.CMS is working closely with the State of California and federal partners to put these flexibilities in place to ensure those affected bythis natural disaster have access to the care theyneed – when theyneed it most.
On Jan. 8, 2025, President Bidendetermined that an emergencyexists in California due to the emergency conditions resultingfromthe 2025 Southern California Wildfires beginningJan. 7, 2025, and continuing.Additionally, on Jan. 10, 2025, Department of Health and Human Services (HHS) Secretary Xavier Becerra determined that aPublic Health Emergency (PHE)exists in California and has existed since Jan. 7, 2025.
CMSstandsreadytoassistwithresourcesandwaiverstoensure hospitalsandotherfacilitiescan continue to operate and provide access to care to those impacted by the consequences of multiple wildfires causing major damage in several areas, including the Palisades fire, which has impacted about 23,000 acres, the Eaton Fire that has impacted 14,000+ acres, and the Hurst fire that has impacted 790+ acres.
The following is key information on resources for those affected and actions CMS is taking in response to the wildfires in California.
State of California Waivers:CMS’blanket waivers and other flexibilitiesare available to affected providers as needed in California who have been affected by the wildfires, retroactively from Jan. 7, 2025, through the end of the 2025 Southern California Wildfires PHE declaration for the State of California signed Jan. 10, 2025, or when no longer needed.Health care providers who need additional flexibilities specific to the effects resulting from wildfires can submit a request to CMS here:CMS 1135 Waiver/Flexibility Request and Inquiry Form.
Health Insurance Coverage for Wildfire Disaster Victims – For California residents, you can enroll in health coverage through Covered California until Jan. 31, 2025, by either visiting CoveredCA.com or by calling Covered California at (800) 300-1506. For those who had to leave the State and now reside in a state served by HealthCare.gov, you can enroll in health coverage through a Special Enrollment Period (SEP). FEMA-emergency-affected individuals will have up to 60 days from the end of the FEMA-designated incident period to select a new Marketplace plan or make changes to their existing Marketplace plan. FEMA-emergency-affected individuals must contact the Marketplace Call Center at 1-800-318-2596 or TTY at 1-855-889-4325 and indicate they were eligible for an enrollment window but were unable to complete their enrollment due to a FEMA-designated emergency or disaster. For more information, please visit:https://www.cms.gov/cciio/resources/regulations-and-guidance/fema_sep
DisasterToolkitandSupportforStateMedicaidandCHIPAgencies:To prepareforcurrentand future disasters, CMS has developed an inventoryof Medicaid and Children’s Health Insurance Program (CHIP) flexibilities and authorities available to states in the event of a disaster to support Medicaid and CHIP operations and ensure continuity of coverage for people served through Medicaid and CHIP programs during times of crisis. For more information and to access the inventory and toolkit, visit:https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/index.html.
Dialysis Care:CMS is helping people obtain and maintain access to critical life-saving services by activating the Kidney Community Emergency Response (KCER) program and working with End-Stage Renal Disease (ESRD) Network 18, which is responsible under a contract with CMS for assessing the status of dialysis facilities in potentially impacted areas of Southern California. This includes assessing impacts related to generators, alternate water supplies, providing education and materials for patients, and more. ESRD Network 18 is also assisting people in receiving dialysis services in Southern California locations to which they evacuated. CMS, through ESRD Network 18, has also advised people to keep an emergency supply kit on hand in a waterproof bag containing important personal, medical, and insurance information; contact information for their dialysis facility; the ESRD Network hotline number; and contact information of those with whom they may stay or for out-of-state contacts. They have also been instructed to have on-hand supplies to follow a three-day emergency diet.
TheESRDNetwork 18 (Southern California) toll-free hotline is 1-800-637-4767.
AdditionalinformationisavailableontheKCERwebsiteatwww.kcercoalition.com.
Medical Equipment and Supplies Replacements:CMS will permit people with Medicare who have lost or realized damage to their durable medical equipment, prosthetics, orthotics, and supplies as a result of the wildfires to receive replacements of such items and services. This will help to ensure beneficiaries can continue to access the needed medical equipment and supplies they rely on each day. People with Medicare can contact 1-800-MEDICARE (1-800-633-4227) for assistance.
Access to Covered Part D Drugs: There is longstanding guidance around expectations for Part D sponsors in the event of a Presidential declaration of a disaster/emergency or Secretarial declaration of a public health emergency (PHE).During any public health disaster (PHE) declaration, where beneficiaries are displaced from their place of residence and cannot be reasonably expected to obtain covered Part D drugs at a network pharmacy, plans will be required to assure that their enrollees have adequate access to drugs dispensed at out-of-network (OON) pharmacies. Plans are required to reimburse beneficiaries up to their usual plan allowance for any payments enrollees make to OON pharmacies. Similarly, if the nature of the disaster requires voluntary or mandatory evacuation, plans will similarly be required to reimburse beneficiaries for OON payments for refills of Part D medications to any beneficiary located in an “emergency area,” defined as the area in which there has been a Stafford Act or National Emergencies Act declaration and a PHE declaration. For beneficiaries who have, for instance, lost their drugs, CMS would expect all “refill too soon edits” to be removed.
For more information, visit sections 50.12 and 60.1 ofChapter 5 of the Prescription Drug Benefit Manual.
Health Information Privacy/ Civil Rights Accessibility Resources:During a PHE, the HHS Secretary may waive sanctions and penalties against a covered hospital that does not comply with certain provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule in the emergency area and for the emergency period identified in the PHE declaration; to hospitals that have instituted a disaster protocol; and for up to 72 hours from the time the hospital implements its disaster protocol but not to exceed the time prescribedbeyond the period described in section 1135(e) of the Social Security Act. The HHS Office for Civil Rights offersmore information on enforcement of HIPAA during emergency responses.
Recent natural disasters have demonstrated the importance of ensuring accessibility to health and human services for everyone living in the United States, including individuals in need of interpretation and translation services. To help first responders provide on-the-ground language assistance and communicate effectively during disasters and in accordance with federal civil rights laws, the HHS Office for Civil Rights offers aplain language checklist- PDF, including recommendations, specific action steps, resources, and tips such as to how to identify language needs in a disaster-impacted community to effectively utilizing interpreters. Additional information is available on theHHS OCR website.
CMSwillcontinuetoworkwiththe State of California and those areas impacted by the wildfires.We encourage beneficiaries and providers of healthcare services that have been impacted to seek help by visiting CMS’ emergency webpage(www.cms.gov/emergency).
Tofindadditionalpreparednessandresponseresourcesforthehealthsectorandemergency management professionals, please visit:https://www.phe.gov/emergency/Tools/Pages/default.aspx.
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