Help the California School-Based Health Alliance Set Their 2018 Policy Priorities

The California School-Based Health Alliance (CSHA), a statewide nonprofit which aims to improve health and academic success of children and youth by advancing health services in schools, is setting their policy priorities for 2018 and inviting CSHA members to provide feedback during a call on September 20, 2017. Over the past several years, CSHA has worked to advance several issues impacting...

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

The Implementation Advisory Group (IAG) has published minutes from their August 1, 2017 meeting. Of interest: DHCS gave a brief update on SPA 15-021,  noting that on June 9th CMS asked several additional Requests for Information (RAIs). The Department noted that the RAI responses are undergoing final management review before they will be submitted to CMS. In addition, the LEA RMTS...

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 January Meeting Summary

The Implementation Advisory Group (IAG) has published minutes from their January 31, 2017 meeting, and discussed the following topics: DHCS presented a draft chart that identified LEA services that are proposed under SPA 15-021. The chart covered IEP/IFSP services, non-IEP services covered under “plans of care” and other non-IEP services that are outside of a plan of care (e.g., first...

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 ...

Medicaid’s Free Care Practice

This content has moved. Click here to see our updated issue analysis on Free Care.

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...

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...

Free Care Manual Update & Service Rates Expected September 2016

In an email dated August 30, 2016, California's Department of Health Care Services (DHCS) announced several updates to ongoing policy and guidance related to the LEA Medi-Cal Billing Option Program. Key updates regarding DHCS' Free Care Policy Clarification and rates for Telehealth and new Speech codes are not yet effective. DHCS states that they anticipate these will be published in September...

California’s Shortage Of School Nurses Covered by California Healthline

A new national pediatric guideline proposes that every school have a nurse on staff. In California, 57 percent of school districts do not employ nurses. In an article that focuses on new recommendations that call for every California school district to have a school nurse on site, California Healthline examines the extreme shortage of school nurses in schools throughout the state and covers...