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Questions Surround Change in Medi-Cal Reimbursement Calculations

By Greg Jones (Senior Editor)

Wednesday, October 12, 2011 | 0

By Greg Jones, Western Bureau ChiefA change in how prescription drug reimbursement rates are calculated for the Medi-Cal database could cause billing problems in the California workers' compensation system and might also require regulatory changes for consistency in how medications are reimbursed in comp.California Title 8 Regulation Section 9789.40 requires reimbursement rates for prescription drugs in the workers' compensation system to be 100% of the rate paid by Medi-Cal. The Department of Health Care Services maintains the Medi-Cal database, which until Sept. 28 was based on avera...

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