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...

RMTS for LEA Billing — Implementation Advisory Group Publishes August Meeting Summary

The Implementation Advisory Group (IAG) provided the following updates from their August 9, 2016 meeting: Workgroup members are testing the draft CRCS and related instructions; two LEA members will be using their own data to provide detailed feedback to DHCS on edits and other suggestions. The draft CRCS is in the final stages of testing and the IAG expects to submit this to CMS in the...

LEA Ad-Hoc Advisory Workgroup Publishes February 2016 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 February 3, 2016 meeting  include: Attendees asked that ongoing DHCS Audits and Investigations (A&I) audits...

Exciting Changes Proposed for California’s LEA Direct Billing Program

In late September 2015, DHCS released a copy of their draft State Plan Amendment (SPA 15-021) which proposes several changes to the LEA Medi-Cal Billing Option program. If approved, the SPA includes several exciting additions that will impact California's participating school districts, including: newly eligible services, practitioners types, and a revised method for capturing time spent...

“We are helping kids. It’s MAAvelous!”

April 24, 2014 – San Francisco, CA – Paradigm hosts School Medicaid Coordinator Conferences throughout California on an annual basis to provide school administrators, program coordinators, and fiscal coordinators with a renewed grasp on their Medicaid billing programs. Attendees are exposed to new data and information that help them achieve compliance with program rules and running...

“Always gets your mind working…”

March 26, 2013 – San Francisco, CA – Paradigm hosts its Coordinator Conferences throughout the state on an annual basis to energize clients and provide program coordinators, administrators, and fiscal coordinators with a renewed grasp on their Medi-Cal billing programs. Attendees are exposed to new data and information that helps them achieve and maintain compliance with Medi-Cal program...

California Announces Option for LEAs to Resubmit FY 09/10 CRCS Reports

Sacramento, CA - May 15, 2012 - During the California Department of Health Care Services' (DHCS) May 9, 2012 Provider Participation Agreement (PPA) and Annual Report training for schools participating in the LEA Billing Option program, it was announced that LEAs will have the option to resubmit their FY 09/10 CRCS using a state-updated template. This option is an opportunity for those LEAs who had...

Bill to Reauthorize SB 231 (Ortiz, 2001), Moving Through California Legislature

Assembly Member Susan Bonilla (D–Concord) is sponsoring Assembly Bill No. 2608 (AB 2608), a bill that seeks to reauthorize the California statute first established under Senate Bill No. 231 (SB 231). On April 17, 2012, AB 2608 cleared the first hurdle on its way to approval when it was unanimously passed out of the state Assembly Committee on Health. The bill moves next to the Committee on...

California Confirms Policy to Allow Claiming of Staff Funded with LEA Billing Reimbursements on Annual CRCS Report

Sacramento, CA - March 30, 2012 – The release of Procedure and Policy Letter (PPL) 12-006 confirms that Local Educational Agencies (LEAs) may include expenditures funded with Standardized Accounting Code Structure (SACS) Resource Code 5640 in the Cost and Reimbursement Comparison Schedule (CRCS) dating back to fiscal year 09/10. The release of PPL 12-006 comes on the heels of PPL 11-013, which...

PPL 12-006: California Reinvestment of LEA Billing Option Program Reimbursements

PPL 12-006, LEA Medi-Cal Billing Option Program - Changes To Standardized Account Code Structure (SACS) Resource Code 5640, is related to the policy change originally set out in PPL 11-013 regarding the reinvestment of LEA Billing reimbursements in the MAA program. The PPL reiterates that Resource Code 5640 revenues will no longer be considered federal income for the purpose of the LEA Billing...