Medi-Cal Adjustment of Claims Due to Retroactive Rate Updates

The Department of Health Care Services (DHCS) updated provider reimbursement rate for Maternal Serum Alpha-Fetoprotein (AFP) procedure code 82105, effective retroactively for dates of service on or after September 19, 2022. If the rate was increased, the adjustment is positive. If the rate was reduced, the adjustment is negative. No action is required on your part. The California Medicaid Management Information System (MMIS) Fiscal Intermediary will update the price and adjust the affected claims