PPL 20-052 TCM Costs in the SMAA Program

On Monday, December 7, 2020, DHCS sent out an email confirming that Policy and Procedure Letter (PPL) 20-052, titled “Claiming Targeted Case Management (TCM) Costs for the School Based Medi-Cal Programs” was approved.

Since State Plan Amendment (SPA) 15-021 reinstated TCM services as a covered service available to any Medi-Cal eligible student with an Individualized Education Plan (IEP) or Individualized Family Service Plan (IFSP), PPL 20-052 provides guidance around the options available to LEAs for claiming the costs associated with TCM services. This will ensure duplicate billing of TCM services through the SMAA and LEA Billing Programs doesn’t occur.

For more details on the options for billing TCM services, please click here to check out PPL 20-052  or check out the SMAA PPL page by clicking here.