News: LEA Billing

Help the California School-Based Health Alliance Set Their 2018 Policy Priorities

The California School-Based Health Alliance (CSHA), a statewide nonprofit which aims to improve health and academic success of children and youth by advancing health services in schools, is setting their policy priorities for 2018 and inviting CSHA members to provide feedback during a call on...

DHCS Clarifies Position, Expressly Allows OT & PT Treatment Services Prescribed by LEA-Contracted Physicians

Big news for California LEAs who have been waiting for clarification from the Department of Health Care Services (DHCS) regarding Occupational Therapy (OT) and Physical Therapy (PT) treatment services prescribed by LEA-employed or contracted physicians. In an email sent to program stakeholders on...

DHCS Issues Clarification on Coordination of Care with Managed Care Plans

California’s Department of Health Care Services (DHCS) has issued clarification on a previous email regarding protocols for LEAs coordinating care with Managed Care Plans (MCPs). The original email, sent on August 9, had raised questions about what appeared to be new coordination requirements....

RMTS for LEA Billing — Implementation Advisory Group Publishes August Meeting Summary

The Implementation Advisory Group (IAG) has published minutes from their August 1, 2017 meeting. Of interest: DHCS gave a brief update on SPA 15-021,  noting that on June 9th CMS asked several additional Requests for Information (RAIs). The Department noted that the RAI responses are undergoing...

California Announces New System for Obtaining Student Medi-Cal Eligibility Information

DHCS has notified California LEAs and their billing partners that a new system, known as MOVEit, will be used moving forward for transmitting all Medi-Cal eligibility information (i.e. the data tape match) for the LEA Billing Option program. The MOVEit system was launched last year and is currently...

LEA Ad-Hoc Advisory Workgroup Publishes June 2017 Meeting Minutes

The LEA Ad-Hoc Advisory Workgroup, comprised of LEA representatives, DHCS, and the California Department of Education (CDE), held their regularly scheduled meeting to make recommendations and discuss issues impacting the LEA Medi-Cal Billing Option Program. Highlights from the June 7, 2017...

CMS Announces Medicaid and School-Based Health Services Affinity Group

The federal Centers for Medicare & Medicaid Services (CMS) has announced the development of a new group for state Medicaid agencies interested in “partnering with schools and public health to improve access to and the delivery of important preventative health services for children and...

Senate Rejects Slimmed-Down Obamacare Repeal as McCain Votes No

“WASHINGTON — The Senate in the early hours of Friday morning rejected a new, scaled-down Republican plan to repeal parts of the Affordable Care Act, derailing the Republicans’ seven-year campaign to dismantle President Barack Obama’s signature health care law and dealing a huge...

OT/PT Service Billing Impacted by Change to California Children’s Services Program

California’s 2017-18 state budget, which went into effect on July 1, 2017, included $1.6 million for nonmedically necessary OT and PT services to the California Children’s Services (CCS) Medical Therapy program. While CCS was previously required to provide OT and PT services that the...

To Protect Children, Senate Republicans Must Drop Medicaid Per Capita Cap

“The Senate Republican health bill, like the House-passed bill, would convert Medicaid to a per capita cap, but it would cut Medicaid even more deeply and pose an even greater threat to coverage for all Medicaid beneficiaries — including children…” Read the full article: CBPP,...