DHCS Publishes New LEA Billing FAQs

As a follow-up from the Fall 2016 LEA Billing DHCS training held last October, DHCS has released a list of frequently asked questions (FAQs) and answers on various program policies. Below, we've included a handful of questions and answers from the document that LEAs may find particularly interesting, specifically regarding: RMTS for LEA Billing Free Care (Non-IEP) Service Billing ...

New Laws Impacting California’s School Medicaid Programs

Throughout the year, Paradigm tracks various state bills that have the potential to impact California's school-based Medicaid programs and publishes a summary of those that have been signed into law and those that failed to make the cut. Click here to download our School Medicaid Report: 2015/16 Legislative Review & Program Impact....

Send Special Ed Funding Directly to Districts, Not Regional Agencies, Report Says – EdSource

"The state should dismantle its system for distributing special education funding for California’s 718,000 students with disabilities and send the money – billions of dollars – directly to local school districts, according to a much anticipated report that’s expected to draw the attention of Gov. Jerry Brown and state education leaders. The recommendations, made by researchers at the...

CMS Approves California’s SMAA Program Manual

On Thursday, November 10, DHCS released the final CMS approved manual and invoice template for the School-Based Medi-Cal Administrative Activities (SMAA) program. The new manual is effective back to January 2015, covering the first quarters that California LEAs began using the Random Moment Time Survey (RMTS) method for the SMAA program. The first RMTS claims, for fiscal year 2014-15 Q3, are...

School Health Services Questionnaire Released by California’s Department of Education

California's Department of Education (CDE) has teamed up with the Department of Health Care Services (DHCS) to gather information from LEAs and school health services stakeholders in an effort to, "improve, support, and expand the delivery of Medi-Cal services at the state, county, and local level." Download the questionnaire Submit feedback by Friday, October 28  

DHCS Launches New Webpage for SMAA Workgroup Meeting Summaries

On Monday, DHCS SMAA Chief, Tony Teresi, announced that DHCS had created a new page on their website to house meeting information related to the bi-weekly SMAA Workgroup. You can visit the page here, and view meeting summaries for the past three meetings.

How California Schools Are Using Medicaid – Healthy Schools Campaign

Since a regulatory change to the free care rule almost two years ago allowed states to use Medicaid funding to provide services to all Medicaid-enrolled students in schools, states have been exploring the best way to implement this change. To take advantage of this opportunity, states, school districts and others need to come together to develop a plan and consider their options for...

Governor Vetoes Senate Bill 123, SMAA Program Improvements

Governor Jerry Brown has vetoed Senate Bill 123, a bill authored by Senator Carol Liu to legislate recommendations by the State Auditor aimed at improving California's school-based Medi-Cal Administrative Activities (SMAA) program. Senator Liu's office has expressed disappointment but also noted that the hard work to improve California's SMAA program, and the students and families who benefit...

California Quietly Rolls Out School Medicaid Billing for Non-IEP/IFSP Students

Following the December 2014 repeal of the federal Free Care rule, this week the Department of Health Care Services (DHCS) published an updated Provider Manual for the LEA Medi-Cal Billing Option program which removes references to the prohibitive Free Care rule. This update technically clears the way for public schools in California to begin billing for certain health services, including...