Register by November 22 for Next LEA Advisory Workgroup Meeting

LEAs interested in attending the bi-monthly LEA Advisory Workgroup meeting (also known as the 'LEA Ad-Hoc Meeting') should RSVP to Cheryl Ward at DHCS by Wednesday, November 22, 2017. The meeting will take place on December 13, 2017 from 10:30 a.m. - 3:30 p.m. at Natomas Unified School District in the Staff Development Room, 1931 Arena Boulevard, in Sacramento. Previous meeting notes and...

New Resource for LEAs & Parents Regarding EOBs for School Health Services

DHCS has published a one-page informational that LEAs can share with parents regarding private insurance, explanation of benefits (EOB) statement for school health services, and impact to public benefits. When a child has both Medi-Cal and Other Health Coverage (OHC) through private insurance, and a school is billing Medi-Cal for eligible health services provided to that student under the LEA...

UPDATED: DHCS Clarifies Position, Expressly Allows OT & PT Treatment Services Prescribed by LEA-Contracted Physicians

**Update as of October 2, 2017** Since this post was originally published, DHCS has extended the 6-month renewal requirement to an annual renewal requirement for OT and PT prescriptions. The announcement was made in an email from DHCS to LEAs on September 27, 2017, stating: "On August 24, 2017, DHCS sent the above policy update, with an additional requirement that prescriptions for PT/OT...

2017 California Legislation: What Passed & What Didn’t

In September, several bills with possible implications for school health programs under consideration by the California Legislature were either suspended or passed and signed into law by the Governor.  Two bills with direct implications for the SMAA and LEA Billing programs, AB 834 and AB 481, both failed to pass out of committee. Read on for a brief summary of what passed, what didn't, and...

Save the Date: SMAA RMTS Coder Training

The California Department of Health Care Services (DHCS) has announced their annual SMAA RMTS Coder Training webinar which will be open to all program coordinators and stakeholders. Date: Thursday, October  12, 2017 Time: 1:30-3:00pm PST Location: this training will be hosted online via webinar Click here to register

September Medi-Cal Bulletin for LEAs Posted – Updated Reimbursement Rates & Adjustments of LEA Claims

The September Medi-Cal Bulletin for California LEAs has been published to the DHCS website. Two items of interest include: Notification that LEAs can expect to see additional dollars related to retroactive reimbursement rate increases dating back to dates of survey on or after July 1, 2016. DHCS has published the adjusted rates here on their website: FY 2016-17 Current Reimbursement Rates...

LEA Ad-Hoc Advisory Workgroup Publishes June 2017 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 June 7, 2017 meeting include: In April 2017, DHCS posted the finalized Annual Accounting of Funds Summary Report...

March Medi-Cal Bulletin for LEAs Posted – New Retroactive Adjustment for Under- and Over-Collection of Withholds

The March Medi-Cal Bulletin for California LEAs has been published to the DHCS website. One item of interest is an announcement regarding a retroactive adjustment of LEA claims due to under- and over-collection on withholds back to July 2011. DHCS has confirmed that these are related to the administrative fees withheld and capped at an annual maximum, also stating that most of the...

Two-decade old legal battle over special education oversight nears resolution, brings major changes – EdSource

"The California Department of Education said last week that it will comply with a federal court order to improve significantly its system for monitoring special education, after years of legal maneuvering to block the changes.... The changes in monitoring come as California is taking steps to address a root concern about special education services statewide: why many students with...

Advisory Panel Finalizing School Health Recommendations to DHCS

The Medi-Cal Children's Health Advisory Panel (MCHAP) will be meeting on April 18, 2017 to finalize their recommendations to the Department of Health Care Services (DHCS) on children's behavioral health care, including strengthening school-based health services through the SMAA and LEA programs. The most recent draft of MCHAP's recommendations call on DHCS to work more collaboratively with...