MedicaidPrior AuthMedium impact
25-1179m Updated Authorization Guides: Personal Care and Homemaker Services and Day Habilitation Services
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
HealthNet California updated authorization guides for Personal Care/Homemaker Services and Day Habilitation Services to align with DHCS standards. Key changes include Day Habilitation authorizations now available up to 90 days, billing unit changed from per diem to per hour, and a new referral form is required.
Action Required
Immediately: For Day Habilitation Services, update billing system to change unit of service from per diem to per hour for authorization requests. Download and begin using the new Day Habilitation Referral Form from the CalAIM Resources page. Update authorization request procedures to reflect new 90-day maximum periods for initial authorizations and extensions. Access updated guides at Forms & Tools > Community Supports (CS) section.