RMTS for LEA Billing—DHCS Hosts Combined Stakeholder Meeting on Oct. 4, 2018

On Thursday, Oct. 4, 2018, the Department of Healthcare Services (DHCS) held the first LEA Billing and School Medi-Cal Administrative Activities (SMAA) combined meeting. Paradigm attended the meeting by webinar and below are the highlights. There are 2 issues DHCS is still working out with CMS before formally submitting the final version of the SPA, which includes RMTS for LEA Billing, for...

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

The Implementation Advisory Group (IAG) has published minutes from their October 3, 2017 meeting. Of interest: Navigant presented the technical RMTS “Wish List” items that were discussed during previous IAG meetings. The IAG discussed these items with DHCS and asked for them to be considered in the upcoming RMTS software system Request for Proposal (RFP). The LECs in attendance stated...

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...

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...

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

The Implementation Advisory Group (IAG) has published minutes from their December 6, 2016 meeting, and discussed the following topics: The IAG discussed stakeholder feedback from one LEA that was concerned with communication regarding indirect service time being coded to Code 2. The stakeholder was concerned that Code 2 may include moments that are not direct medical services, creating...

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

The Implementation Advisory Group (IAG) has published minutes from their November 8, 2016 meeting, and discussed the following topics: The IAG members reviewed draft LEA Provider Manual language and suggested content placement related to incorporating RMTS information into the existing LEA Provider Manual. The IAG members will review an updated version of the proposed LEA Provider Manual...

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

The Implementation Advisory Group (IAG) has published minutes from their October 4, 2016 meeting, and discussed several important topics: The IAG reviewed proposed procedure codes and modifiers for the new services and practitioners included in SPA 15-021. The IAG members discussed how RMTS will be incorporated into the LEA Provider Manual The next IAG meeting is scheduled for November...

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

The Implementation Advisory Group (IAG) has published minutes from their September 13, 2016 meeting, which included a review of the draft State Plan Amendment and RMTS-related training slides for the Fall LEA Program training, scheduled for October 13, 2016. If you are not yet registered for the upcoming DHCS Fall LEA Program training, which will be hosted via web conferencing, click here...

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...

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...