MedicaidPrior AuthLow impact
25-1205 Respite Services Made Easier: New Authorization Guide and Form Streamline Support for Caregivers
Health Net·CA·Prior Authorization
Effective date
Dec 1, 2025
We identified it
Jun 20, 2026
Summary
Health Net is eliminating prior authorization requirements for HCPCS code S9125 (respite services) effective December 1, 2025, and updating authorization forms to streamline the referral process for caregiver support services.
Action Required
By December 1, 2025: Billing team must update system to remove prior authorization requirement for HCPCS code S9125 for Health Net Medi-Cal members. Download updated Respite Services Authorization Guide and Form from Health Net's CalAIM resources page when available on December 1st.