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MedicaidPrior AuthMedium impact

25-1177m Updated Authorization Guides: Personal Care and Homemaker Services and Day Habilitation Services

Health Net·CA·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Health Net 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 for up to 90 days (vs previous periods), billing unit changed from per diem to per hour, and a new referral form is required.

Action Required

Action needed
Immediately: Download and begin using the new Day Habilitation Referral Form (PDF) from the CalAIM Resources for Providers page under Forms & Tools > Community Supports. Update billing systems to change Day Habilitation Services from per diem billing to per hour billing. Update authorization request procedures to reflect new 90-day maximum authorization periods for initial and extension requests.

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