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CA AB1892

Bill

Status

Engrossed

5/25/2022

Primary Sponsor

Heath Flora

Click for details

Origin

State Assembly

2021-2022 Session

AI Summary

  • Changes Medi-Cal reimbursement rates for prosthetic and orthotic appliances to be set at least at 80% of the lowest maximum allowance established by federal Medicare Program for California, increased from a maximum cap of 80%

  • Requires annual adjustments to reimbursement rates to conform to relevant changes in the Medicare Program

  • Prohibits assistive device and sickroom supply dealers from billing Medi-Cal for prosthetic and orthotic appliances

  • Restricts pharmacy billing for these appliances to only those certified by the National Community Pharmacists Association and only for department-approved items

  • Authorizes the Department of Health Care Services to implement changes through provider manual or bulletin without following standard Administrative Procedure Act rulemaking requirements

Legislative Description

Medi-Cal: orthotic and prosthetic appliances.

Last Action

In committee: Held under submission.

8/11/2022

Committee Referrals

Appropriations6/9/2022
Health6/1/2022
Rules5/26/2022
Appropriations4/6/2022
Health2/18/2022

Full Bill Text

No bill text available