Welfare and Institutions Code section 14124.165
(a)
(1)Notwithstanding any other law, for dates of service no sooner than January 1, 2025, the base reimbursement rates for eligible providers rendering Medi-Cal covered abortion services identified by the department, shall be increased in the fee-for-service delivery system such that, in combination with the projected actuarially equivalent impact on the managed care delivery system expenditures, the projected cost of the base reimbursement rate increases on an annualized basis is equal, as determined by the department, to the annualized amount set forth in the state fiscal year 2024–25 budget.(2)
The reimbursement rate increases described in paragraph (1) shall account for, and be inclusive of, the exemption of these services from payment reductions pursuant to Section 14105.192, and may be geographically adjusted as deemed appropriate by the department.(b)
For contract periods during which subdivision (a) is implemented, each Medi-Cal managed care plan shall reimburse eligible providers furnishing the services subject to subdivision (a) no less than the amounts established pursuant to subdivision (a) as directed by the department in guidance issued pursuant to subdivision (b) of Section 14124.162.
Source:
Section 14124.165, https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=14124.165. (updated Jun. 29, 2024; accessed Jun. 30, 2025).
