California AB164 modifies Medi-Cal eligibility and reimbursement rates for federally qualified health centers and rural health clinics.

California AB164 amends Medi-Cal provisions to adjust reimbursement rates for federally qualified health centers (FQHCs) and rural health clinics (RHCs) based on changes in the scope of services they provide. It sets a threshold of 1.75 percent for rate changes and mandates that any decrease in service scope resulting in a significantly lower per-visit rate must be reported within 90 days of the fiscal year's start. The bill also outlines procedures for rate change requests and their retroactive application.

California AB164 modifies Medi-Cal eligibility and reimbursement rates for federally qualified health centers and rural health clinics.

California AB164 amends Medi-Cal provisions to adjust reimbursement rates for federally qualified health centers (FQHCs) and rural health clinics (RHCs) based on changes in the scope of services they provide. It sets a threshold of 1.75 percent for rate changes and mandates that any decrease in service scope resulting in a significantly lower per-visit rate must be reported within 90 days of the fiscal year's start. The bill also outlines procedures for rate change requests and their retroactive application.