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Regulations



 
9789.38....Appendix X
See Section 9789. 39(a), for the Code of Federal Regulations reference for effective date, revisions, and amendments by date of service. These services are identified by ...more
 
 
9789.39....Update Table by Date of Service
...more
 
 
9789.40....Pharmacy
(a) The maximum reasonable fee for pharmaceuticals and pharmacy services rendered after January 1, 2004 is 100% of the reimbursement prescribed in the relevant Medi-Cal ...more
 
 
9789.50....Pathology and Laboratory
(a) Effective for services after January 1, 2004, the maximum reasonable fees for pathology and laboratory services shall not exceed one hundred twenty (120) percent of ...more
 
 
9789.60....Durable Medical Equipment, Prosthetics, Orthotics, Supplies
(a) For services, equipment, or goods provided after January 1, 2004, the maximum reasonable reimbursement for durable medical equipment, supplies and materials, ...more
 
 
9789.70....Ambulance Services
(a) The maximum reasonable fee for ambulance services rendered after January 1, 2004 shall not exceed 120% of the applicable fee for the Calendar Year 2004 set forth in ...more
 
 
9790....Authority
The rules and regulations contained in this Article are adopted pursuant to the authority contained in Sections 133, 4603. 5, 307. 1 and 5307. 3 of the California Labor ...more
 
 
9790.1....Definitions
The “large urban add-on” is indicated by the post-reclassification urban/rural location published in the Payment Impact File at positions 229-235. 65, page ...more
 
 
9791....Services Covered
Except as provided in this article, the Official Medical Fee Schedule applies to all covered medical services provided, referred or prescribed by physicians (as defined ...more
 
 
9791.1....Medical Fee Schedule
The Official Medical Fee Schedule shall include the procedures, procedure numbers, descriptions, instructions, and unit values adopted by the Administrative Director, ...more
 
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