Medicare AdvantageDocumentationMedium impact
Required Documentation for Medical Respite Referrals
HMSA·HI·Provider News
We identified it
Oct 4, 2026
Summary
HMSA has issued new documentation requirements for providers referring members to the Medical Respite Program. All referrals must now include three specific completed forms (Medical Respite Authorization Form, CIS+ Member Consent Form, and Medical Respite Person-Centered Service Plan) before member admission. HMSA has created a fillable packet with a CIS+ program checklist to streamline submission of complete authorization requests.
Action Required
Immediately: Providers referring members to Medical Respite Program must obtain and use HMSA's new fillable authorization packet. Update referral processes to ensure all three required documents (Appendix I: Medical Respite Authorization Form, Appendix C: CIS+ Member Consent Form, and Appendix J: Medical Respite Person-Centered Service Plan) are completed and submitted before member admission. Referral staff should access the fillable packet and CIS+ program checklist from the Provider Resource Center. Failure to submit complete documentation will delay or deny authorization for Medical Respite admissions.