California

high

CA MEDI CAL Medical Rates

SUCCESS

Run Date and Time

Jul 01, 2026

10s

Run Metrics

New1
Changed0
Unchanged0
Checked1

Fee Schedule Impacts

High3
Medium0
Low0

Run summary

This run for California Medi-Cal Rates / CA_MEDI_CAL_MEDICAL_RATES identified 0 changed documents and 3 newly discovered documents. 3 item(s) are high priority. 3 newly discovered item(s) appear current or upcoming.

High Impact (3)

rates_data.xlsx

high

The document provides updated Medi-Cal rates effective as of June 15, 2026, including specific CPT codes and their corresponding rates.

Highlights

  • New rates effective 06/15/2026.
  • Includes CPT codes like 0001U, 0003U, 0007U.
  • Rates for procedures such as RBC DNA and onc ovar protein.
  • Conversion factors are included for rate calculations.

Reason

The document contains specific rate changes effective soon, impacting reimbursement.

Watch items

06/15/20260001U0003U0007Uconversion factors

conv_data.txt

high

The document outlines new Medicaid reimbursement rates effective June 15, 2026, for various medical services, including primary care, anesthesiology, and surgery.

Highlights

  • Effective date: June 15, 2026
  • Adult primary care rate: $10.00
  • Child primary care rate: $10.91
  • Anesthesiology rate: $14.01
  • C-section rate: $82.16

Reason

The document includes specific rate changes effective soon, impacting reimbursement.

Watch items

06/15/2026adult primary carechild primary careanesthesiologyc-section

rates_data.txt

high

The document contains new Medicaid reimbursement rates effective June 15, 2026, for various procedures, including genetic tests and anesthesia services.

Highlights

  • Effective date: June 15, 2026
  • New rates for genetic tests (e.g., 0001U, 0003U)
  • Anesthesia procedure rates updated (e.g., 00100, 00102)
  • Significant rate changes for procedures like burr hole surgeries (e.g., 61120, 61140)

Reason

The document includes specific rate changes effective soon, impacting reimbursement.

Watch items

0001U0003U001006112061140
Medium Impact (0)

No documents in this severity group.

Low Impact (0)

No documents in this severity group.