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Routine Rule Amended Final

Adjustments to Official Medical Fee Schedule for Medicare DMEPOS Changes

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Published April 6th, 2026
Detected April 6th, 2026
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Summary

The California Division of Workers' Compensation (DWC) posted an order adjusting the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) section of the Official Medical Fee Schedule to conform to 2026 Medicare payment system changes as required by Labor Code section 5307.1. The adjustment adopts Medicare's April 2026 Quarter 2 DMEPOS Fee Schedule update and is effective for services on or after April 1, 2026.

What changed

The DWC issued an administrative order updating the DMEPOS section of California's Official Medical Fee Schedule to align with Medicare's 2026 Quarter 2 updates. The adjustment is mandated by Labor Code section 5307.1, which requires the schedule to conform to Medicare payment system changes. The order was released on April 6, 2026, and applies to services rendered on or after April 1, 2026.

Healthcare providers, employers, and workers' compensation insurers should verify their billing systems reflect the updated DMEPOS rates effective April 1, 2026. Claims for durable medical equipment, prosthetics, orthotics, and supplies should be processed using the new fee schedule amounts. The order can be found on DWC's DMEPOS fee schedule webpage.

What to do next

  1. Verify billing systems reflect updated DMEPOS rates effective April 1, 2026
  2. Process claims for durable medical equipment, prosthetics, orthotics, and supplies using the new fee schedule
  3. Review order on DWC's DMEPOS fee schedule webpage for specific rate changes

Source document (simplified)

  1. Press Room

NEWSLINE Release Number: 2026-31 Date: April 6, 2026

DWC posts adjustments to Official Medical Fee Schedule (DMEPOS)

The Division of Workers’ Compensation (DWC) has posted an order adjusting the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) section of the Official Medical Fee Schedule to conform to the 2026 changes in the Medicare payment system as required by Labor Code section 5307.1.

The order, which is effective for services on or after April 1, 2026, adopts the Medicare April 2026 Quarter 2 DMEPOS Fee Schedule update.

The order adopting the adjustment can be found on the DWC’s DMEPOS fee schedule web page.

Named provisions

DMEPOS Fee Schedule Official Medical Fee Schedule

Source

Analysis generated by AI. Source diff and links are from the original.

Classification

Agency
DWC
Published
April 6th, 2026
Instrument
Rule
Legal weight
Binding
Stage
Final
Change scope
Minor
Document ID
Release No. 2026-31

Who this affects

Applies to
Healthcare providers Employers Insurers
Industry sector
6211 Healthcare Providers 5241 Insurance
Activity scope
Medical Fee Schedule Administration Workers' Compensation Billing
Geographic scope
California US-CA

Taxonomy

Primary area
Healthcare
Operational domain
Compliance
Topics
Workers' Compensation Healthcare Pricing

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