California Department of Health Care Services

PPL 13-012: Reasonableness Test Criteria (RTC) - Updated

**Note: DHCS released a revised and updated version of PPL 13-012 on December 13, 2013. This revision makes important…


PPL 13-015: Interim Claiming Plan Procedure Changes for LEAs for SFY 2013-14

The Centers for Medicare and Medicaid Services (CMS) approved an Interim Claiming process for the SMAA program on…


PPL 13-013: CMAA/TCM Implementation Plan Amendment - MAA for Inmates

The purpose of this Policy & Procedure Letter is to notify LGA’s participating in the CMAA Program of an amendment…


Draft California School-Based MAA and RMTS Manual, October 2013

The first draft of California's new school Medi-Cal Administrative Activities (SMAA) plan, which will utilize the…


County Based Medi-Cal Administrative Activities Program Operational Plan, Approved by CMS May 3, 2013

California's operational claiming plan for the County Medi-Cal Administrative Activities (CMAA) and Targeted Case…


PPL 13-001: LEA Billing Program - Revision to Medical Transportation Outlined in Assembly Bill 2608

This Policy and Procedure Letter (PPL) notifies LEAs participating in the LEA Medi-Cal Billing Option Program that…


DHCS Report to Legislature on the LEA Billing Option Program, May 2012

Report period: April 2011 through May 2012. View the Report to Legislature...


Medi-Cal Provider Manual Parts 1 & 2 - LEA Billing Option Program Sections

A direct link to an always-current excerpt from the California Department of Health Care Services' Medi-Cal Provider…


Example CMS Deferral Release Notification Letter

This example correspondence from the Department of Health Care Services (DHCS) to a California regional agency…