Executive Order to Expand Telehealth Services

On March 30, 2020, Governor Newsom issued executive order N-39-20 to temporarily expand telehealth services. This order provides protections to medical providers by relaxing certain state privacy and security laws so they may utilize telehealth services to minimize patient exposure and infections, without the risk of being penalized. On April 3, 2020, the executive order was officially signed by...

Telehealth & LEA School-Based Services, An Open Letter

In response to the COVID-19 outbreak, Local Educational Agencies (LEAs) need immediate telehealth policy accommodations to continue providing and receiving funding for certain health services provided to children with disabilities. Paradigm has researched the current rules and policies as well as the current flexibilities being put in place as a response to coronavirus campus closures. Paradigm's...

Paper Remittance Advice Details Print Delay

On March 27, 2020 DHCS sent out a news flash advising that there will be a delay in receiving paper Remittance Advice Details (RADs) and Medi-Cal Financial Summaries by 4 business days. Due to this, DHCS is encouraging Providers who are not already signed up to receive PDF RADs to do so. To learn more, check out DHCS’ email here: DHCS Paper RAD Delay Additional instructions to view and...

Covered California & DHCS Team Up to Provide A Ready Path to Coverage

On March 20, 2020 Covered California re-opened their enrollment and announced they are extending the enrollment period for all eligible and uninsured until June 30, 2020. For more on eligibility and options, click here: Covered CA Concurrently, DHCS provided a quicker process for those who are Medi-Cal eligible or who may have recently become Medi-Cal eligible to acquire coverage immediately....

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...

A Message to Our Clients, COVID-19 Response

The coronavirus (COVID-19) situation is evolving daily. Paradigm is closely monitoring direction and advice from the Centers for Disease Control & Prevention, and listening to our clients and staff to guide our actions. We have taken many steps to safeguard our operations so that the health of our clients’ programs is assured. All of our systems are ready, and we can assure...

CA School Health Conference & Advocacy Day May 14-15

The California School-Based Health Alliance is hosting their annual statewide school health conference and advocacy day in Sacramento on May 14-15. If you are interested in joining hundreds of educators, health care providers, and youth leaders, click here to learn more: CHSA Conference

DHCS is Hosting Training Series

In preparation for the approval of State Plan Amendment (SPA) 15-021 that is anticipated to be approved by Centers for Medicare and Medicaid Services (CMS) on or before May 11, 2020, DHCS is hosting a series of trainings—dates and times are below. DHCS noted they will issue invitations via email a few weeks in advance and include additional information. Date & Time Location ...

DHCS Confirms State Plan Amendment (SPA) 15-021 is Officially ‘On the Clock’

On Tuesday, February 11, DHCS sent an email announcing they had formally submitted the State Plan Amendment (SPA)15-021 to Centers for Medicare and Medicaid Services (CMS), who has 90 days to review the package. On Wednesday, February 12, during a DHCS Workgroup meeting, DHCS confirmed that CMS accepted the submission and will adhere to the expected decision date of May 11, 2020. DHCS...

School Medicaid Programs Make a Shift @ DHCS

On September 3, 2019, California DHCS sent this message to its school Medicaid stakeholders: "In an effort to align the work that we do with other work being done within the Department of Health Care Services, our Branch, “Medi-Cal Claims and Services Branch” has moved from the Safety Net Financing Division to the newly developed division called Local Governmental Financing Division (LGFD)....