California

high

CA MEDI CAL Medical Rates

SUCCESS

Run Date and Time

Oct 15, 2026

8s

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)

conv_data.txt

high

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

Highlights

  • •Effective date: September 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

09/15/2026$10.00$10.91$14.01$82.16

rates_data.xlsx

high

The document provides updated Medi-Cal rates effective as of 09/15/2026, including specific CPT codes and their corresponding rates.

Highlights

  • •New rates effective 09/15/2026.
  • •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

09/15/20260001U0003U0007Uconversion factors

rates_data.txt

high

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

Highlights

  • •Effective date: September 15, 2026
  • •New rates for DNA testing, oncology, and anesthesia
  • •Specific rates include $576.00 for DNA testing and $760.00 for oncology
  • •Anesthesia rates range from $50.58 to $75.93

Reason

The document includes specific reimbursement rates effective soon, impacting billing and reimbursement processes.

Watch items

09/15/20260001u0003u0010061150
Medium Impact (0)

No documents in this severity group.

Low Impact (0)

No documents in this severity group.

California Monitoring Run Oct 15, 2026 | MedicaidWatch.ai