California

high

CA MEDI CAL Medical Rates

SUCCESS

Run Date and Time

May 01, 2026

9s

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 April 15, 2026, including specific CPT codes and their corresponding rates.

Highlights

  • New rates effective 04/15/2026.
  • Includes CPT codes like 0001U, 0003U, 0007U, 00100, 0037U.
  • Rates for procedures such as RBC DNA, onc ovar, and various anesthesia services.
  • Conversion factors and indicators are included.

Reason

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

Watch items

04/15/20260001U0003U0007U00100

conv_data.txt

high

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

Highlights

  • Effective date: April 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

04/15/2026adult primary carechild primary careanesthesiologyc-section

rates_data.txt

high

The document contains new Medicaid reimbursement rates effective April 15, 2026, for various procedures, including DNA testing and anesthesia services.

Highlights

  • Effective date: April 15, 2026
  • New rates for DNA testing and oncology procedures
  • Anesthesia procedure rates updated
  • Includes specific CPT codes and reimbursement amounts

Reason

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

Watch items

04/15/20260001u0003u0010061105
Medium Impact (0)

No documents in this severity group.

Low Impact (0)

No documents in this severity group.