Respite Care for Care Plan Option

Provider Type

  • Participating Physician Groups (PPG)
  • Hospital
  • Ancillary

Health Net offers the Respite Care program as part of the Care Plan Option for Cal MediConnect members.

Respite care provides caregivers temporary rest from caregiving while a member continues to receive care in a safe environment. Using respite services can support and strengthen the caregiver's ability to provide service.


Respite care services are available at a member's home. Requests for respite care are available:

Within a six-month period for up to 24 hours of relief.

In increments of a minimum of four hours for each visit.

Submit a Request for Respite Care

To request respite care, fill out the Respite Care Referral form (PDF) and fax it to the
Health Net Public Programs Department listed on the form. Be sure to include a fax cover sheet with all fax transmissions of protected health information. The cover sheet must be labeled "PROTECTED HEALTH INFORMATION."