Medi-Cal Reimbursement Rates
Last year, COA fought for increased reimbursement rates for optometry services during a $25 billion budget shortfall. Last year’s budget deal adopted a new funding stream and the Department of Health Care Services will make recommendations in 2024 as to which providers will get increased rates. COA has been meeting with the department to make sure that optometry rates are considered for an increase next year.
COA lobbyists provided data showing the need to increase optometry rates. Administration officials asked if any optometrists have attempted to negotiate higher reimbursement rates. They argued that managed care organizations had the authority to increase rates on an individual basis. If you have tried to negotiate for a higher reimbursement rate with a Medi-Cal managed care plan, please contact Kristine Shultz at email@example.com or (916) 752-1671. Your experience can help us explain to the department why an across-the-board rate increase is necessary.
COA’s budget ask to increase reimbursement rates was heard in the Senate Budget Subcommittee on Health. COA is requesting that Medi-Cal reimbursement rates be doubled to keep up with inflation. June 15 is the deadline for lawmakers to vote on a state budget.