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CA AB1892
Bill
Status
5/25/2022
Primary Sponsor
Heath Flora
Click for details
AI Summary
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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%
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Requires annual adjustments to reimbursement rates to conform to relevant changes in the Medicare Program
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Prohibits assistive device and sickroom supply dealers from billing Medi-Cal for prosthetic and orthotic appliances
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Restricts pharmacy billing for these appliances to only those certified by the National Community Pharmacists Association and only for department-approved items
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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