DHCS News Roundup

Over the past week, DHCS sent a handful of email announcements to LEAs regarding the operations of LEA Billing.  For your information, the roundup is below:  2017/18 CRCS Submission Docs Update   On Sept. 27, 2019, DHCS posted the template documents for the 2017/18 CRCS. In addition, DHCS posted PPL 19-019 (Sept 18, 2019), which calls for a small change in how to submit your...

Healthy Schools Campaign Hosts Free Webinar on School Medicaid Opportunities

Date: September 24, 2019 Time: 1PM - 2PM, CDT About the Webinar This introductory webinar will explore the following questions: - What is Medicaid and what does it cover—in and out of school? - How can school districts leverage Medicaid to enhance school health services? - What is the free care policy reversal and how are states leveraging this opportunity to expand their...

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)....

July Medi-Cal Bulletin for LEAs Posted

The July 2019 Medi-Cal Bulletin for LEAs has been published to the DHCS website. It included an adjustment to the reimbursement rates for LEA Services for FY 2019/20. Click here to read the current or past Bulletins.

DHCS Posts PPL 19-015, Notification of Change to Physician Prescription Policy

On July 10, 2019, DHCS posted Policy and Procedure Letter (PPL) 19-015 stating that for services dated July 1, 2019, and forward, treatment authorizations (orders/prescriptions) signed by Physician Assistants (“PA”) or Nurse Practitioners (“NP”) are eligible. This means, for example, that the specialized procedure orders that in the past met the criteria but were signed by a PA or NP...

June Medi-Cal Bulletin for LEAs Posted

The June 2019 Medi-Cal Bulletin for LEAs has been published to the DHCS website. There was no LEA Billing program-specific information of note in this month's Bulletin. Click here to read the current or past Bulletins.

DHCS Posts Training Slides and FAQs for Their LEA Medi-Cal Billing Program SPA 15-021 Implementation Training

DHCS held a State Plan Amendment (SPA) 15-021 implementation training in Southern California on April 22, 2019, and in Northern California on May 9, 2019. At the training, they confirmed that SPA 15-021 had not yet been approved by CMS and so all the training was pending that approval. On June 10, 2019, they posted the PowerPoint slides and FAQs. SPA 15-021 Implementation Training Slides ...

Highlights from LEA Ad-Hoc Advisory Workgroup June 2019 Meeting

On June 5, 2019, the California Department of Health Care Services (DHCS) held a meeting for the LEA Ad-Hoc Advisory Workgroup, comprised of LEA representatives, DHCS, and the California Department of Education (CDE); the meeting is held to make recommendations and discuss issues impacting the LEA Medi-Cal Billing Option Program. Highlights from the June meeting include: Erroneous Paid...

LEA Ad-Hoc Advisory Workgroup Publishes February 2019 Meeting Minutes

On June 11, 2019, DHCS posted February 6, 2019, meeting minutes for the LEA Ad-Hoc Advisory Workgroup, comprised of LEA representatives, DHCS, and the California Department of Education (CDE); the meeting is held to make recommendations and discuss issues impacting the LEA Medi-Cal Billing Option Program. Highlights from the February meeting included: Effective January 1, 2019, CPT Code...

DHCS Wants to Hear from Current Participants of the LEA Billing Program—Requests Information Via Survey

On June 5, 2019, DHCS sent an email to their LEA Billing mailing list reaching out to its stakeholders in order to account for LEAs that currently participate in the LEA Program, but do not participate in the School-Based Medi-Cal Administrative Activities (SMAA) Program. The stated goal of the survey is to provide technical assistance to LEA providers that may not be familiar with the Random...