Effective for dates of service on or after July 1, 2008, payments for non-exempt providers will be subject to a 10% reduction that will be applied during the claim payment process. Welfare and Institutions (W & I) Code Section 14105.19 mandates the application of the 10% reduction with certain exceptions as noted therein.

The reimbursement rates published on this Web site do not reflect the following payment augmentations or reductions that are included as part of the final payment to Medi-Cal providers:

• 10% payment reduction as specified above
• 43.44% payment augmentation for services provided in a hospital outpatient department
• 39.7% payment augmentation for specified physicians’ services provided to California Children’s Services clients
  

This rates information is an extract of pricing data from the automated Medi-Cal pricing system as of the specific date shown. It lists the maximum reimbursement rates payable by the Medi-Cal program for covered procedures described in the HCPCS and CPT-4 coding system. Although every attempt will be made to keep this information up-to-date, it does not reflect changes made subsequent to the date of the extract.

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• View Medi-Cal Rates By Procedure Code

The rate table below contains reimbursement rates that were in effect on June 30, 2001. This table is provided as information only for provider reference, and does not reflect current reimbursement rates. For current rates, click the link above to access the current rate table.

• Medi-Cal Rates as of June 30, 2001

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