California
highCA MEDI CAL Medical Rates
Run Date and Time
Aug 01, 2026
19s
Run Metrics
Fee Schedule Impacts
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.txt
The document contains new Medicaid reimbursement rates effective July 15, 2026, for various procedures, including DNA testing, oncology, and anesthesia services. Specific rates and codes are provided, indicating changes that could impact billing and reimbursement.
Highlights
- •Effective date: July 15, 2026
- •New rates for DNA testing, oncology, and anesthesia
- •Specific codes and reimbursement amounts listed
- •Potential impact on billing and reimbursement processes
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
conv_data.txt
The document outlines new Medicaid reimbursement rates effective July 15, 2026, for various medical services including primary care, anesthesiology, and surgery.
Highlights
- •Effective date: July 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
rates_data.xlsx
The document provides updated Medi-Cal rates effective as of July 15, 2026, including specific CPT codes and their corresponding rates.
Highlights
- •New rates effective 07/15/2026.
- •Includes CPT codes like 0001U, 0003U, 0007U.
- •Rates for procedures such as RBC DNA and onc ovar protein.
- •Conversion factors are updated.
- •Rates include anesthesia procedures.
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Medium Impact (0)
No documents in this severity group.
Low Impact (0)
No documents in this severity group.