Medi-Cal updates payment rates for selected 2026 procedure codes
Published November 8, 2026 · Coverage November 1–7, 2026, Pacific · Lower priority
On November 6, 2026 Medi-Cal published a provider news article, "Fee Schedule Rate Update for 2026 Codes". It says that, effective for dates of service on or after July 1, 2026, the payment rates for selected procedure codes have been updated and are available on the Medi-Cal Rates page. An Erroneous Payment Correction (EPC) will be implemented to reprocess claims at the new rate for dates of service on or after the effective date, including claims that were appropriately submitted based on the article's guidance but were adjudicated based on prior rates. Providers may also elect to correct and resubmit previously adjudicated claims, as described in the Provider Manual section the article names. The article does not list the codes.
Background
Medi-Cal is California's Medicaid program.
Who this affects
Medi-Cal providers that bill the updated procedure codes.
Why it matters
Claims for the updated codes with dates of service on or after July 1, 2026 that were appropriately submitted under the article's guidance but adjudicated at the prior rates are to be reprocessed at the new rates. Inference: expected-reimbursement tables for those codes are out of date for services since July 1, 2026.
Recommended action
- Revenue cycle: compare the updated rates on the Medi-Cal Rates page with the chargemaster and expected-reimbursement tables, and track the reprocessing of claims with dates of service on or after July 1, 2026.
Scope and timing
- Authority status
- Guidance
- Responsible owner
- Revenue Cycle
- Publication date
- 2026-11-06
- Effective date
- 2026-07-01 (dates of service on or after this date)
Not established
The article does not list the codes or the new rates, and the Medi-Cal Rates page was not opened. The article was read in a browser on November 11, 2026 (Pacific time) and is kept as the text the browser displayed.
Sources
Complete edition and supplemental material
This article in the complete report →
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