News: RMTS

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...

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...

DHCS Releases Vendor Fee Worksheets for Backcasting & RMTS Invoices

The Vendor Fee Worksheet (VFW), a new mechanism by which DHCS will ensure that LEAs can only claim (i.e. be reimbursed) for up to 15% of their total invoice amount in vendor fees, was released on August 2 after a months-long revision process by DHCS. This form was required to complete the first...

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...

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

The Implementation Advisory Group (IAG) has published minutes from their January 31, 2017 meeting, and discussed the following topics: DHCS presented a draft chart that identified LEA services that are proposed under SPA 15-021. The chart covered IEP/IFSP services, non-IEP services covered under...

DHCS Publishes New LEA Billing FAQs

As a follow-up from the Fall 2016 LEA Billing DHCS training held last October, DHCS has released a list of frequently asked questions (FAQs) and answers on various program policies. Below, we’ve included a handful of questions and answers from the document that LEAs may find particularly...

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

The Implementation Advisory Group (IAG) has published minutes from their December 6, 2016 meeting, and discussed the following topics: The IAG discussed stakeholder feedback from one LEA that was concerned with communication regarding indirect service time being coded to Code 2. The stakeholder...

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

The Implementation Advisory Group (IAG) has published minutes from their November 8, 2016 meeting, and discussed the following topics: The IAG members reviewed draft LEA Provider Manual language and suggested content placement related to incorporating RMTS information into the existing LEA...

CMS Approves California’s SMAA Program Manual

On Thursday, November 10, DHCS released the final CMS approved manual and invoice template for the School-Based Medi-Cal Administrative Activities (SMAA) program. The new manual is effective back to January 2015, covering the first quarters that California LEAs began using the Random Moment Time...

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

The Implementation Advisory Group (IAG) has published minutes from their October 4, 2016 meeting, and discussed several important topics: The IAG reviewed proposed procedure codes and modifiers for the new services and practitioners included in SPA 15-021. The IAG members discussed how RMTS will be...