MedicaidPrior AuthMedium impact
26-376m Respite Services Authorization Form Updated
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
The Respite Services Authorization Form has been updated to include required billing codes (S9125, H0045, S5151) to streamline authorization and billing processes. Providers must now select the correct billing code when requesting respite services based on the type and location of care.
Action Required
Immediately: Billing team must access the latest Respite Authorization Form from CalAIM Resources for Providers and update procedures to include the correct billing code when submitting respite service requests. Select S9125 for in-home respite care (no prior auth required), H0045 for respite care not in the home, or S5151 for unskilled respite care not hospice. Contact the long-term services and supports liaison with questions.