Effective for dates of service on or after August 1, 2021, the Alliance will be retroactively implementing adjustments on radiology rates.
In pursuant to Senate Bill 853 (Chapter 717, Statutes of 2010), the Department of Health Care Services (DHCS) is required to adjust Medi-Cal reimbursement rates for radiology services so they do not exceed 80 percent of the corresponding Medicare rate.
The updated radiology reimbursement rates are available on the Medi-Cal Rates page at: https://files.medi-cal.ca.gov/Rates/RatesHome.aspx
The Alliance will be reprocessing claims with dates of service on or after the effective date of this billing policy that were appropriately submitted.
If you have any questions, please contact a Claims Customer Service Representative at 831-430-5503.