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Attention All Medi-Cal Providers: Update on Implementation of Medi-Cal Home Health Rate Increase

Posted on Sunday, January 20, 2019 4:52 PM

CAHSAH is pleased to report that the Department of Health Care Services has updated the Medi-Cal rates as of January 15, 2019 to include the 50% rate increase for the Medi-Cal EPSDT codes. The new EPSDT rates match the rates approved by CMS in SPA 18-037. Please note, as of January 1, 2019, the EPSDT “Z” codes were officially changed to new codes (“S”, “T”, “G”, etc.). A crosswalk of the EPSDT code changes can be found here.

The home health rate increase for adult Medi-Cal patients is not active currently. CAHSAH does not have an expected timeframe for the adult update; however, we are hopeful the increase will be implemented in early 2019. We will continue to work with the Department and provide updates when we gain more information about the adult Medi-Cal codes for home health services.

If you have any questions about the rate increase, please do not hesitate to contact CAHSAH's Policy Director, Braden Oparowski at boparowski@cahsah.org  or call him at: (916) 641-5795 ext. 123.

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