LEA Medi-Cal Billing Option Program & Telehealth

On March 19, 2020, DHCS sent out an email reminding LEAs that speech therapy delivered to Medi-Cal eligible students via telehealth are billable through the LEA Medi-Cal Billing Option Program as set out in the provider manual and addressed in PPL 15-024R that was published by DHCS on June 28, 2016.

In addition to this reminder, information was posted on the Medi-Cal website which identifies that on March 16, 2020, DHCS submitted a waiver request for flexibilities to CMS related to the Novel Coronavirus (COVID-19). The waiver request included all matters that impact telehealth in the State. We anticipate DHCS will issue guidance soon on the bearing this waiver, if approved, will have on the LEA Billing program.

Further information on the guidelines for billable speech therapy services and the waiver request can be found here: