Billing Beat

Medi-Cal – Adjustment to Medicare and Pharmacy Claims Due to Retroactive Rates Update

August 10, 2023

The Department of Health Care Services (DHCS) updated provider reimbursement rates for designated physician-administered drug CPT® and HCPCS codes for second quarter 2022, effective retroactively for dates of service on or after April 1, 2022. If the rate was increased, the adjustment is positive. If the rate was reduced, the adjustment is negative.

California Medi-Cal

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