Medi-Cal Posts FQHC/RHC PPS 2025 Q4 Claim Reprocessing Notice, Positive Adjustments Started June 25, Negative Adjustments Begin July 23
Issue
Medi-Cal posted the 2025 fourth-quarter FQHC/RHC Prospective Payment System rate-adjustment notice on July 2. The fiscal intermediary will automatically reprocess affected claims; positive adjustments began appearing on RAD forms June 25, 2026, and negative adjustments begin July 23, 2026, using RAD code 0882.
Revenue-cycle teams should watch the July 23 negative-adjustment wave, reconcile PPS cash flow against remittance detail, and preserve appeal/CIF timing where needed.
Key points
- Positive PPS adjustments began June 25; negative adjustments begin July 23 with RAD code 0882.
- No provider action is required for automatic reprocessing, but finance teams should reconcile cash flow and preserve appeal/CIF deadlines.
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Part of
- California's state-only Medi-Cal coverage
PPS reimbursement for state-only patients
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FQHC Talent. (2026, July 2). Medi-Cal Posts FQHC/RHC PPS 2025 Q4 Claim Reprocessing Notice, Positive Adjustments Started June 25, Negative Adjustments Begin July 23. Source: Medi-Cal. Retrieved October 6, 2026, from https://www.fqhctalent.com/intel/medi-cal-fqhc-rhc-pps-q4-2025-reprocessing-july-2026