LEA Ad-Hoc Advisory Workgroup Publishes August 2018 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 August 1, 2018 meeting minutes include:

  • The Annual Report for FY 2017/18 has been posted to the DHCS website. No notable revisions were made to it for the upcoming year.  All LEAs must submit an Annual Report by November 30, 2018.
  • All LEA’s Data Use Agreements (DUA) with DHCS are set to expire December 1, 2018; DHCS had planned to publish the new FY 2018-2021 DUA with instructions to their website in August, however at the time of publication an updated DUA has not yet been released.
  • State Plan Amendment (SPA 15-021 updates were provided:
    • PPLs and Provider Manual updates are being drafted
    • As of the meeting, there were 2 items still being discussed: RMTS notification and response period (DHCS requested a 1-day notification and 4 days response time from CMS) and MOUs with Managed Care Organizations (MCO)
    • DHCS plans to formally resubmit the SPA as soon as these two items are discussed with CMS.
  • DHCS updated their Provider Manual with the changed support withhold for Audits & Investigations (A&I) percentage to 2% and aligning it to “Models of Service Delivery” language to language in “Medicaid and School Health: A Technical Assistance Guide
  • DHCS noted that for the approximately 540 2013/14 CRCS submissions, 443 audits had been completed. They also noted that 2014/15 CRCS Audits had not yet commenced.

At the time of posting, the combined LEA/SMAA meeting on October 4, 2018 hadn’t taken place; notes on this meeting should be published by DHCS in the coming months.

For information on attending the next meeting, LEAs should contact the LEA Inbox at LEA@dhcs.ca.gov.

Past LEA Ad-Hoc Advisory Workgroup meeting minutes are archived on the DHCS website.