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26-377m Respite Services Authorization Form Updated
Act
immediately
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
The Respite Services Authorization Form has been updated to include specific billing codes (S9125, H0045, S5151) that must be selected when requesting respite care services. This change streamlines authorization and billing processes for Community Supports providers serving Medi-Cal members in Imperial County.
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What to do
immediately · 3 steps
01Billing team must download the updated Respite Services Authorization Form from CalAIM Resources for Providers.
02When submitting respite care requests, select the appropriate billing code: 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.
03Update staff training on proper code selection to ensure accurate processing and prevent delays.
Codes mentioned
S9125H0045S5151
Original notice
26-377m Respite Services Authorization Form Updated
providerlibrary.healthnetcalifornia.com · Always check the source before changing claims.
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