Welcome to the Department of Health Care Services Welcome to Medi-Cal Welcome to the Department of Health Care Services

Medi-Cal Logo
Click to Sign Up for MCSS emails

DME Quarterly Rate Update for Selected HCPCS Codes

June 20, 2016

Effective retroactively for dates of service on or after October 1, 2015, reimbursement rates for selected Durable Medical Equipment (DME) HCPCS procedure codes are updated. Welfare and Institutions Code (W&I Code), Section 14105.48 requires Medi-Cal rates for DME codes to not exceed 80 percent of the corresponding Medicare rate, or 100 percent of the corresponding Medicare rate regarding complex rehabilitative technology codes.

These changes will be reflected in the provider manual in a future Medi-Cal Update.