Adjustments to reimbursement rates for radiology services

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In accordance with Senate Bill 853 (Chapter 717, Statutes of 2010), effective 01/01/2021, the Department of Health Care Services (DHCS) has adjusted Medi-Cal reimbursement rates for radiology services to not exceed 80 percent of the corresponding Medicare rate. The updated radiology reimbursement rates are available on the Medi-Cal Rates page.

The Alliance has implemented the above referenced rate adjustments for claims with dates of service on or after 03/01/2022. Claims adjustments will be made incrementally, and no action is required on your part. Additional information regarding these adjustments can be found on the Medi-Cal website.