New Laws Impacting California’s School Medicaid Programs

Throughout the year, Paradigm tracks various state bills that have the potential to impact California's school-based Medicaid programs and publishes a summary of those that have been signed into law and those that failed to make the cut. Click here to download our School Medicaid Report: 2015/16 Legislative Review & Program Impact....

Timeline: California’s Free Care Challenge, Updated October 2013

Written for distribution at the 2013 National Alliance for Medicaid Education, Inc. (NAME) Conference, this updated timeline sources all major milestones in California's challenge of the federal free care rule.  It was published along-side an updated policy brief. Download the Timeline of California's Free Care Challenge, Updated October 2013...   Read More View the Policy Brief:...

Policy Brief: California’s Free Care Challenge, Updated October 2013

Written for distribution at the 2013 National Alliance for Medicaid Education, Inc. (NAME) Conference, this policy brief reviews California's challenge of the federal free care rule.  It was published along-side an updated timeline of events. Download the Policy Brief: California's Free Care Challenge...   Read More View the supplement: A Timeline of California's Free Care...

RMTS Sample Universes: Does a Split Universe Make Sense for California?

Since June of 2012, the California Department of Health Care Services (DHCS) has been negotiating the details of a new school Medi-Cal administrative claiming plan with the federal Centers for Medicare and Medicaid Services (CMS). As part of our ongoing series on the random moment time study (RMTS) method, this policy brief takes a look at the sample universe component of a RMTS program from the...

Assessing Audit Compliance in a RMTS Program

This policy brief provides a summary of findings from recent school Medicaid program audits by the federal Office of Inspector General (OIG) in states using the random moment time study (RMTS) method.   Policy Brief_Assessing Audit Compliance RMTS Feb 2013

2012 Legislative and Regulatory Review

This annual review summarizes legislative and regulatory changes from the past year that affect school Medicaid programs in California and nationally; this publication is current at time of release, January 2013. 2012 Legislative and Regulatory Review.pdf

National Study of RMTS, August 2011 Policy Brief with New Foreword

California's school MAA program is undergoing significant change as it looks to solidify a new claiming methodology with the federal Centers for Medicare and Medicaid Services (CMS). It is within this context that we are reissuing our August 2011 national study of RMTS, including an updated introduction to position the study in the current landscape. RMTS National Study Reissue 2013.pdf

Policy Brief: Coordinator Perspective on School Medi-Cal Programs, Results from Paradigm’s Policy Impact Survey

Earlier this year, Paradigm’s Policy & Research Division distributed a Policy Impact Survey to more than 170 California Local Educational Agencies (LEAs), including a handful of Local Educational Consortium (LEC) and Local Governmental Agency (LGA) program coordinators. The results published in this brief are intended to promote a better understanding of the role current policy issues play in...

Policy Brief: Electronic Signatures for California’s MAA Program

The California Department of Health Care Services (DHCS) will begin accepting electronic signatures in lieu of manual 'blue ink' signatures on Medi-Cal Administrative Activities (MAA) and Targeted Case Management (TCM) program time surveys beginning July 1, 2012 (DHCS PPL 12-009, April 2012). This brief explores the question of compliance as it relates to the criteria for electronic signatures as...

2011 Legislative and Regulatory Review

This annual review summarizes legislative and regulatory changes from the past year that affect school Medicaid programs in California and nationally; this publication is current at time of release, January 2012. PHS_2011 Legislative and Regulatory Review Jan2012.pdf