Update to Medi-Cal lab rates

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Central California Alliance for Health (the Alliance) is notifying providers that 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 of 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.

The Alliance has implemented the above referenced rate adjustments for claims with dates of service on or after January 1, 2022. Claims adjustments will be made incrementally. No action is required on your part. Additional information regarding these adjustments can be found on the Medi-Cal website:

If you have any questions regarding the rate adjustments, please contact your Provider Relations Representative at 800-700-3874, ext. 5504 or the Claims Department customer service team at 800-700-3874, ext. 5503.