Medi-Cal NewsFlash: Effective Date Correction to Previous EPC Letter of Retroactive Rate Adjustment for COVID-19 Diagnosis Claims

An Erroneous Payment Correction (EPC) letter entitled, Retroactive Rate adjustment for COVID-19 Diagnosis Claims(Reference Number P42709), was mailed to select providers on May 15, 2021. Providers who received the letter were informed that retroactive provider reimbursement rates for HCPCS codes U0003 and U0004 would be implemented for dates of service on or after March 25, 2021. This effective date, March 25, 2021, is incorrect. The correct effective date is January 1, 2021. Providers affected will receive a corrected letter prior to the implementation of the EPC. All other instruction and information within the EPC letter are correct.

Source: https://files.medi-cal.ca.gov/pubsdoco/newsroom/newsroom_31132_02.aspx