CMS Approves California’s SMAA Program Manual

On Thursday, November 10, DHCS released the final CMS approved manual and invoice template for the School-Based Medi-Cal Administrative Activities (SMAA) program. The new manual is effective back to January 2015, covering the first quarters that California LEAs began using the Random Moment Time Survey (RMTS) method for the SMAA program. The first RMTS claims, for fiscal year 2014-15 Q3, are...

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...

California Implements Billing for Telehealth LEA Speech Therapy Services

Effective July 1, 2016, speech-language assessment services and speech therapy treatment services, as defined in the Speech Therapy section of the LEA Medi-Cal Billing Option Program Provider Manual when performed via telemedicine, may be reimbursed to LEAs when provided to Medi-Cal eligible students with an Individualized Education Plan (IEP) or Individualized Family Services Plan (IFSP). In...

Updates to the LEA Medi-Cal Billing Program Provider Manual

In the November Medi-Cal update newsletter for LEAs, DHCS announced several updates to the LEA Medi-Cal Billing Option program and corresponding sections in the Provider Manual. Many of the updates were operational in nature and unrelated to program policy; however, there were a handful of substantial changes including some that appear to be related to the state's preparation for rolling...

California’s LEA Billing Provider Manual is Updated to Reflect New Transportation Regulations

Announced this month in the California Department of Health Care (DHCS) LEA Medi-Cal Provider Bulletin, the LEA Billing Provider Manual has been updated to reflect changes to the requirements for wheelchair and litter van transportation services on claims with dates of services on or after January 1, 2013. This change comes after Governor Brown signed AB 2608 (Bonilla) into law in September of...

California’s School MAA Manual FY 2012-13

Combined / Searchable Version with Bookmarks and Hyperlinks For Easier Reference View the SMAA Manual 2012-2013.pdf... Visit the DHCS SMAA website...

2010 CMAA LGA Provider Manual

The California County-Based Medi-Cal Administrative Activities Manual (CMAA Manual) intends to help local governmental agencies (LGAs: counties and chartered cities) participate in the CMAA program and maintain proper documentation for their claiming units. This is the original LGA provider manual, last published in 2010 prior to the development and implementation of a new time survey methodology...

Medicaid School-Based Administrative Claiming Guide, May 2003

The CMS Medicaid School-Based Administrative Claiming Guide provides federal guidance on the proper administration of state-operated school-based administrative claiming programs. The Guide does not supersede any statutory or regulatory requirements. Rather, it clarifies and consolidates CMS’ guidance on how to meet these statutory and regulatory requirements and explains the application of such...

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...