Medi-Cal drops drastic rate cuts
By HME News Staff
Updated Thu November 14, 2019
SACRAMENTO, Calif. - Medicaid officials in California have agreed to implement a fee schedule for DME based on 80% of Medicare's rural rates, VGM reports. That's an improvement from the state's initial plan to implement a fee schedule based on 80% of non-rural rates, a move that would have amounted to cuts of up to 60%. Under the initial plan, an oxygen concentrator (E1390), for example, would have been reimbursed at $55.19; now, it will now be reimbursed at $107.76. The California Association of Medical Products Suppliers and its members had fought back against the proposed cuts, which they said would have forced providers to drop Medi-Cal, creating access issues for beneficiaries.
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