MedicaidDocumentationMedium impact
25-810 New Email Address for Hospice Documentation Submissions
Health Net·CA · Palliative Care·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net has updated documentation requirements for hospice services based on new California DHCS guidance. Hospice providers must submit specific documentation including terminal illness certification, election notices, care plans, and face-to-face encounter documentation via secure email for outpatient services, while inpatient hospice care requires prior authorization.
Action Required
Immediately: Hospice providers must implement new documentation submission process for Health Net Medi-Cal members. Submit Medi-Cal Hospice Program Election Notice forms within 5 calendar days of hospice election via secure email for outpatient services. For inpatient hospice care, obtain prior authorization and attach required documentation including terminal illness certification, initial care plan, written prescription with justification, and face-to-face encounter documentation. Update workflow to ensure compliance with APL 25-008 requirements.