Summary
Medi-Cal updated payment rates for selected procedure codes, effective for dates of service on or after July 1, 2026, with the updated rates posted on the Medi-Cal Rates page under Adjusted State Plan Amendment Rates. Medi-Cal will run an Erroneous Payment Correction to reprocess claims at the new rates for dates of service on or after the billing policy's effective date, including claims submitted under earlier guidance that were paid at prior rates.
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What to do
Action · 4 steps
01Already effective July 1, 2026 for dates of service on or after that date: Billing team should pull the Adjusted State Plan Amendment Rates on the Medi-Cal Rates page and compare them against the rates currently loaded in the practice's fee schedule and charge master for the affected procedure codes, then update the fee schedule so new claims reflect the current rates.
02Billing team should identify any previously paid claims for these services with dates of service on or after July 1, 2026 that were adjudicated at prior rates, and track them for the Erroneous Payment Correction reprocessing.
03If the practice elects to correct and resubmit previously adjudicated claims under the updated billing policy, billing team should follow the CIF Submission and Timeliness Instructions in the Provider Manual and document which claims were resubmitted.
04Front desk and billing staff should be told that expected reimbursement for these services may change on remittances after the reprocessing.
Original notice
Fee Schedule Rate Update for 2026 Codes
mcweb.apps.prd.cammis.medi-cal.ca.gov · Always check the source before changing claims.