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...

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. In a clarification email sent on August 18, DHCS underscored that there is no new policy and their...

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 final management review before they will be submitted to CMS. In addition, the LEA RMTS...

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 utilized by select LECs and LGAs for the SMAA program. All LEAs and billing vendors are required...

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 meeting include: In April 2017, DHCS posted the finalized Annual Accounting of Funds Summary Report...

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 adolescents." Officially called the Medicaid and School-Based Health Services Delivery Affinity Group, this...

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 round of backcasted invoices from the SMAA deferral, as well as annually for RMTS claims starting...