← Back to list
22-1017m Respite Services: Provide Temporary Relief for Primary Caregivers
Act
immediately
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
Health Net California has established new respite services for caregivers of members requiring supervision, allowing up to 336 hours per calendar year. These services require prior authorization and must be billed using specific HCPCS codes with modifier U6.
Get alerts when payers change rules like this one
We check Health Net and other payers every day and email you when a change matches your specialty and state.
Get Health Net alertsPolicy Monitoring is free. No card required.
What to do
immediately · 4 steps
01Billing team must update system to recognize HCPCS codes H0045, S5151, and S9125 with modifier U6 for respite services.
02Configure prior authorization requirements for these codes.
03Add eligibility verification step for ADL dependency and caregiver status.
04Update encounter forms to include respite service options for eligible members in covered California counties.
Codes mentioned
H0045S5151S9125
Original notice
22-1017m Respite Services: Provide Temporary Relief for Primary Caregivers
providerlibrary.healthnetcalifornia.com · Always check the source before changing claims.
Related changes
See all Health Net changes →22-1016m Respite Services: Provide Temporary Relief for Primary CaregiversMediumNo effective date · Prior Authorization26-375m Respite Services Authorization Form UpdatedMediumNo effective date · Prior Authorization26-376m Respite Services Authorization Form UpdatedMediumNo effective date · Prior Authorization26-377m Respite Services Authorization Form UpdatedMediumNo effective date · Prior AuthorizationBrowse every Health Net change in the policy list