California’s New RMTS-Based School MAA Program Kicks Off

As scheduled, California’s school-based Medicaid Administrative Activities (MAA) program kicked off a new claim plan after years of federal deferral and interim claiming. The MAA program will utilize the Random Moment Time Sample (RMTS) method of time capture to gauge time spent by participants on reimbursable activities such as Medi-Cal outreach, enrollment, and planning services. The first RMTS moment notifications were issued to participating school staff throughout the state earlier this week.

California’s Department of Health Care Services (DHCS), which administers the MAA program, also posted a RMTS Welcome Letter to their website on January 6 announcing the official transition and providing a brief summary of the new program.

The MAA program and implementation of RMTS signify a large shift in how all participating entities operate, from the schools and their participants to the state and regional agencies, and the process has not been without its share of obstacles and hiccups. RMTS requires a lot of up-front paperwork and approvals, including submission of staff rosters and calendars (which can be unique to each participant), and interfacing with an entirely new software platform. Timelines, information, training, and level of assistance to schools and their staff during this transition have varied dramatically by region, adding to the challenge.

Transitions are difficult, and the impact of the obstacles faced during California’s transition to RMTS will only become clear when the first invoices are cut later this year. In the meantime, DHCS continues to hold a weekly RMTS stakeholder call with regional agencies, state staff, and select LEA representatives to discuss issues as they arise and work to improve the process in real-time.

Read More

Visit the DHCS SMAA website…

Read the DHCS RMTS Welcome Letter…

Read our Issue Analysis about the evolution of RMTS in California…