Update: Rates for select laboratory codes were erroneously updated in the original rate listing on the Medi-Cal Rates page (titled “Clinical Laboratory Rates, effective July 1, 2021, updated in accordance with State Plan Amendment 21-0052”). A follow-up article, titled “Clinical Laboratory Services Rate Adjustment Effective July 1, 2021” published in the March General Bulletin, and specifies what CPT or HCPCS codes were affected by this incorrect update.
The Department of Health Care Services (DHCS) adjusted certain Medi-Cal reimbursement rates for clinical laboratory or laboratory services, effective July 1, 2021. Assembly Bill 133 (Chapter 143, Statutes 2021, as codified at Welfare and Institutions Code, Section 14105.222(c), requires DHCS to update reimbursement rates for clinical laboratory or laboratory services effective July 1, 2021, at the rates that were in effect and approved in the Medi-Cal State Plan as of December 31, 2019.
DHCS also published an accompanying rate listing on the Medi-Cal Rates web page that includes the impacted rates and effective dates. No provider action is needed.