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Industry pushes through carve out for complex rehab

Industry pushes through carve out for complex rehab

SACRAMENTO, Calif. – NCART and the California Association of Medical Product Suppliers have scored several wins in California around a 10% rate reduction for Medi-Cal for CRT that was eliminated in the 2021-22 Budget Act and was effective Jan. 1, 2022. Though the California Department of Healthcare Services submitted the State Plan Amendment to make the change, it had still not been implemented or had any retroactive adjustments on claims paid since Jan. 1, 2022. DHCS has said a 10% cut for CRT will be eliminated April 1, 2023, and has agreed to expand the list of covered CRT codes. It will also initiate an electronic payment correction 60 to 90 days later to adjust prior claims retroactive to Jan. 1, 2022.

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