Schools Brace for Impact if Congress Cuts Medicaid Spending

"For school districts still getting their financial footing after the Great Recession, the Medicaid changes being advanced as part of the health care overhaul are sounding familiar alarms. Administrators say programming and services even beyond those that receive funding from the state-federal health care program could be at risk should Congress follow through with plans to change the way...

A Little-Noticed Target in the House Health Bill: Special Education

"WASHINGTON — While House Republicans lined up votes Wednesday for a Thursday showdown over their bill to repeal the Affordable Care Act, Vickie Glenn sat in her Murphysboro, Ill., office and prayed for it to fail. Ms. Glenn, a Medicaid coordinator for Tri-County Special Education, an Illinois cooperative that helps more than 20 school districts deliver special education services to students,...

Why ACA Repeal Efforts Hurt Schools & How to Get Involved

Efforts to repeal the Affordable Care Act (ACA), also known as Obamacare, continue to make headlines as members in Congress work to finalize a new replacement bill and bring it to a vote. With so much coverage, we thought it would be helpful to collect the best resources on the impact of ACA repeal and replacement efforts on school-based health and Medicaid billing programs. First, a quick...

SMAA Deadlines Extended and Backcasting Updates from DHCS

DHCS has published meeting minutes from their RMTS Workgroup meeting held on April 19, 2017. Of particular interest: SMAA invoice deadlines for 2015/16 Q1 and Q2 have been extended to July 31, 2017 and August 31, 2017 respectively Backcasting invoices for claims in excess of $25,000 from FY 2009/10 and 2010/11 are still due by June 30, 2017 (although work cannot begin until the final set...

Retroactive Guidance for California’s SMAA-RMTS Program May Signal Mass Invoice Revisions

**Update, April 20, 2017: DHCS has verbally stated that this new guidance does not supersede PPL 15-012. DHCS is currently drafting a new PPL to outline the process for handling 100% federally funded or ICR time survey participants that were inadvertently included in an RMTS pool; more details will be available once the new PPL is published.**   On March 30, 2017, DHCS sent an email...

Medicaid Helps Schools Help Children

"Medicaid provides affordable and comprehensive health coverage to over 30 million children, improving their health and their families’ financial well-being. In addition to the immediate health and financial benefits that Medicaid provides, children covered by Medicaid experience long-term health and economic gains as adults. Many children receive Medicaid-covered health care not only at the...

What’s at Stake for Schools and Students in Health Care Debate?

"As Congress considers how to reform the nation’s health care system, the decisions made on Capitol Hill could well have a profound impact on schools and their most vulnerable students. How? The most obvious answer is financial. By now we know that Congress is not content to simply repeal the health care plan then-President Barack Obama pushed through seven years ago. Republican lawmakers are...

March Medi-Cal Bulletin for LEAs Posted – New Retroactive Adjustment for Under- and Over-Collection of Withholds

The March Medi-Cal Bulletin for California LEAs has been published to the DHCS website. One item of interest is an announcement regarding a retroactive adjustment of LEA claims due to under- and over-collection on withholds back to July 2011. DHCS has confirmed that these are related to the administrative fees withheld and capped at an annual maximum, also stating that most of the...

Two-decade old legal battle over special education oversight nears resolution, brings major changes – EdSource

"The California Department of Education said last week that it will comply with a federal court order to improve significantly its system for monitoring special education, after years of legal maneuvering to block the changes.... The changes in monitoring come as California is taking steps to address a root concern about special education services statewide: why many students with...

Advisory Panel Finalizing School Health Recommendations to DHCS

The Medi-Cal Children's Health Advisory Panel (MCHAP) will be meeting on April 18, 2017 to finalize their recommendations to the Department of Health Care Services (DHCS) on children's behavioral health care, including strengthening school-based health services through the SMAA and LEA programs. The most recent draft of MCHAP's recommendations call on DHCS to work more collaboratively with...