California

high

CA MEDI CAL Medical Rates

SUCCESS

Run Date and Time

Apr 15, 2026

12s

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

Highlights

  • New rates effective 03/15/2026.
  • Includes CPT codes like 0001U, 0003U, 0007U.
  • Rates for procedures such as RBC DNA and onc ovar protein.
  • Conversion factors updated for rate calculations.

Reason

The document contains new reimbursement rates effective soon, impacting billing and reimbursement processes.

Watch items

03/15/20260001U0003U0007Uconversion factors

rates_data.txt

high

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

Highlights

  • Effective date: March 15, 2026
  • New rates for DNA testing, oncology, and anesthesia
  • Specific CPT codes include 0001u, 0003u, 0007u, 00100, 00102, 60505, 60512, 60520, 60521, 60522
  • Rates range from $40.58 to $1330.09

Reason

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

Watch items

0001u0003u0007u6050560512

conv_data.txt

high

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

Highlights

  • Effective date: March 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 contains specific rate changes effective soon, impacting reimbursement.

Watch items

03/15/2026adult primary carechild primary careanesthesiologyc-section
Medium Impact (0)

No documents in this severity group.

Low Impact (0)

No documents in this severity group.