Bill > AB601

This bill makes a technical, non-substantive change to the provisions governing reimbursement rates for clinical laboratory or laboratory services under the Medi-Cal program. The bill aims to develop reimbursement rates for these services that are comparable to the payment amounts received from other payers, in order to comply with state and federal law. The bill outlines a process for clinical laboratory providers to submit data reports on the lowest amounts other payers, including other state Medicaid programs and private insurance, are paying for similar services. The department can then use this data to determine reimbursement rates based on an average of the lowest amounts paid by other payers, while ensuring compliance with federal Medicaid requirements. The bill also allows the department to implement these changes through provider bulletins or similar instructions until regulations are adopted.

https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202120220AB601