Register by November 22 for Next LEA Advisory Workgroup Meeting

LEAs interested in attending the bi-monthly LEA Advisory Workgroup meeting (also known as the 'LEA Ad-Hoc Meeting') should RSVP to Cheryl Ward at DHCS by Wednesday, November 22, 2017. The meeting will take place on December 13, 2017 from 10:30 a.m. - 3:30 p.m. at Natomas Unified School District in the Staff Development Room, 1931 Arena Boulevard, in Sacramento. Previous meeting notes and...

SDUSD Makes the Case for School Health Services

Michelle Bell, a longtime member of our school Medicaid billing community, was recently featured in an article about the impact of school health services on the students in San Diego Unified School District. We're proud to work alongside Michelle and grateful for the attention she brings to the importance of school health services and programs on a daily basis. The article was published by...

New Resource for LEAs & Parents Regarding EOBs for School Health Services

DHCS has published a one-page informational that LEAs can share with parents regarding private insurance, explanation of benefits (EOB) statement for school health services, and impact to public benefits. When a child has both Medi-Cal and Other Health Coverage (OHC) through private insurance, and a school is billing Medi-Cal for eligible health services provided to that student under the LEA...

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

**Update as of October 2, 2017** Since this post was originally published, DHCS has extended the 6-month renewal requirement to an annual renewal requirement for OT and PT prescriptions. The announcement was made in an email from DHCS to LEAs on September 27, 2017, stating: "On August 24, 2017, DHCS sent the above policy update, with an additional requirement that prescriptions for PT/OT...

2017 California Legislation: What Passed & What Didn’t

In September, several bills with possible implications for school health programs under consideration by the California Legislature were either suspended or passed and signed into law by the Governor.  Two bills with direct implications for the SMAA and LEA Billing programs, AB 834 and AB 481, both failed to pass out of committee. Read on for a brief summary of what passed, what didn't, and...

Save the Date: SMAA RMTS Coder Training

The California Department of Health Care Services (DHCS) has announced their annual SMAA RMTS Coder Training webinar which will be open to all program coordinators and stakeholders. Date: Thursday, October  12, 2017 Time: 1:30-3:00pm PST Location: this training will be hosted online via webinar Click here to register

Republicans will not vote on Graham-Cassidy — admitting defeat on Obamacare repeal again

"Senate Republicans have admitted defeat on Obamacare repeal — again. Majority Leader Mitch McConnell announced Tuesday afternoon that he will not bring the Graham-Cassidy bill — the latest GOP repeal bill, which had gained steam this month — to a vote this week. With every Senate Democrat opposed to the bill, the publicly announced opposition of three Senate Republicans — Rand Paul...

September Medi-Cal Bulletin for LEAs Posted – Updated Reimbursement Rates & Adjustments of LEA Claims

The September Medi-Cal Bulletin for California LEAs has been published to the DHCS website. Two items of interest include: Notification that LEAs can expect to see additional dollars related to retroactive reimbursement rate increases dating back to dates of survey on or after July 1, 2016. DHCS has published the adjusted rates here on their website: FY 2016-17 Current Reimbursement Rates...

Latest ACA Repeal Effort is Devastating and Deliberately Anti-California

Health Access California emailed the following action-alert regarding the current effort to repeal the Affordable Care Act, a bill sponsored by GOP Senators Lindsey Graham and Bill Cassidy. The following message summarizes the bill perfectly and includes steps you can take today to fight the Graham-Cassidy bill and protect Medicaid. You can also visit the Health Access California website for...

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 September 20, 2017. Over the past several years, CSHA has worked to advance several issues impacting...