California State Plan Amendment (SPA) 03-024

Amendment 03-024 to California's State Medicaid Plan, approved by CMS in 2005 and effective retroactively to April 01, 2003; this SPA relates to LEA Services and Rate Methodology regulation which created the Cost and Reimbursement Comparison Schedule (CRCS) component for the LEA Billing Option program, ensuring the program is reimbursement on actual cost. View SPA 03-024... View CRCS details...

California Senate Bill No. 231 (SB 231) – 2001

An act which added Section 14115.8 of the Welfare and Institutions Code, relating to Medi-Cal, to crease an LEA Ad-Hoc Committee and require annual reporting by DHCS to the California Legislature on LEA Billing activities and progress in increasing California's participation and reimbursements from this federal program. View the original legislation, SB231...

Medicaid and School Health: A Technical Assistance Guide

This federal guide contains specific technical information on the Medicaid requirements associated with seeking payment for eligible direct medical services rendered in a school-based setting. Download the CMS 1997 Technical Assistance Guide...

California’s Third Party Liability Waiver

In 1997, federal Health and Human Services (HHS) approved a waiver of third-party liability requirements for California's school Medicaid billing program. The waiver was temporary, and was not re-approved when requested again by California's Department of Health Care Services. Download California's 1997 TPL Waiver...