Adjustments to Official Medical Fee Schedule for Medicare DMEPOS Changes
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
- Verify billing systems reflect updated DMEPOS rates effective April 1, 2026
- Process claims for durable medical equipment, prosthetics, orthotics, and supplies using the new fee schedule
- Review order on DWC's DMEPOS fee schedule webpage for specific rate changes
Source document (simplified)
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
Related changes
Source
Classification
Who this affects
Taxonomy
Browse Categories
Get Labor & Employment alerts
Weekly digest. AI-summarized, no noise.
Free. Unsubscribe anytime.
Get alerts for this source
We'll email you when CA DIR Labor News publishes new changes.