Free Care Manual Update & Service Rates Expected September 2016

In an email dated August 30, 2016, California’s Department of Health Care Services (DHCS) announced several updates to ongoing policy and guidance related to the LEA Medi-Cal Billing Option Program.

Key updates regarding DHCS’ Free Care Policy Clarification and rates for Telehealth and new Speech codes are not yet effective. DHCS states that they anticipate these will be published in September 2016.

Below is a reproduction of the DHCS email, “LEA Medi-Cal Billing Option: Free Care; CPT Code 92506; Telehealth; SAMPLE Form; Meeting Updates” sent on August 30, 2016:

“A Medi-Cal News Flash was published August 29, 2016, regarding the Local Educational Agency “Free Care” Policy Clarification. It includes a link to the LEA Billing and Overview Reimbursement section of the LEA Provider Manual, which is expected to be published in September, 2016.

A Medi-Cal News Flash was published August 29, 2016, regarding the Local Educational Agency Speech-Language and Audiology Billing Code Changes and Telehealth Option. It includes links to the following sections of the LEA Provider Manual, which are expected to be published in September, 2016:

  1. LEA Service: Speech Therapy
  2. LEA Service: Hearing
  3. LEA Billing Codes and Reimbursement Rates
  4. LEA: Telehealth

The following items have been posted on the LEA Website:

  • NEW – SAMPLE Nursing and Trained School Health Aide Services Treatment Form and Progress Notes are now available on the LEA Program website, located under the Manuals & Training heading of the LEA Program website, or directly link to SAMPLE Forms. Please note that these are sample documents and are not “official” DHCS forms.  
  • The June 1, 2016 LEA Advisory Workgroup Minutes are located under the Publications and Bulletins heading of the LEA Program website, or directly link to Meeting Summaries.
  • The Random Moment Time Study (RMTS) Implementation Advisory Group (IAG) Meeting Summaries are posted through the August 9, 2016 meeting, and are located on the RMTS page under the Program Information heading of the LEA Program website, or directly link to RMTS Summaries.”