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...

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...

PPL 19-011R—Random Moment Time Survey (RMTS) Sampling Requirements—Now Available on DHCS Website

On June 13, 2019, DHCS published Policy and Procedure Letter (PPL) 19-011R Random Moment Time Survey (RMTS) Sampling Requirements to their website. This PPL confirms that, since a moment in RMTS is one minute in time, there should not be any moments issued during the final minute of a time survey participant’s (TSP) work schedule. DHCS gives the example that if a TSP is scheduled to work an...

Revision to PPL 19-004 Posted to DHCS Website

On June 5, 2019, DHCS posted a revision to their Policy and Procedure Letter (PPL) 19-004 Submitting Quarterly Random Moment Time Survey (RMTS) Percentage Results to the Department of Healthcare Services (DHCS)—originally posted on January 11, 2019—to the SMAA website. Below are the updated links: PPL 19-004R PPL 19-004R Attachment A The revision includes updated due dates to...

SMAA Workgroup Publishes May 2019 Meeting Notes

The SMAA Workgroup posted the meeting notes from their May 1, 2019, SMAA Workgroup Meeting; highlights from that meeting include: Draft PPL 19-XXX, RMTS Sample Period—Continued the discussion from their April 17 meeting specifically regarding adjusting quarter four to accommodate the four day response period, see below: DHCS confirmed that reducing the quarter 4 sample period by 4...

SMAA Workgroup Publishes April 2019 Meeting Notes

The SMAA Workgroup posted the meeting notes from their April 17, 2019, SMAA Workgroup Meeting; highlights from that meeting include: Draft PPL 19-XXX, RMTS Sample Period—Addressing submitted stakeholder comments and questions Moments assigned for the last minute of a shift; currently, the system may create a moment that begins the minute a shift ends (e.g., shifts ending at 5:00 pm may...

DHCS Confirms Notification Timeline for RMTS Moments with PPL 19-006

On February 13, 2019, DHCS released PPL 19-006—Notification and Response Timeline for Random Moment Time Survey (RMTS) Moments which confirms the 1/4 notification timelines are effective for the 2019/20 fiscal year. This means TSPs will be notified one attendance day in advance of their moment and then have four attendance days after to submit their response.

DHCS Posts Policy for Submitting Quarterly RMTS Percentage Results to SMAA Website

On January 11, 2019, DHCS announced via email to their SMAA mailing list that they have posted the Policy and Procedure Letter (PPL) 19-004 Submitting Quarterly Random Moment Time Survey (RMTS) Percentage Results to the Department of Health Care Services (DHCS) and PPL 19-004 Attachment A SMAA RMTS Percentage Results Template have been posted to the SMAA Website.

DHCS Releases Policy and Procedure Letter Confirming Psychology Assessment CPT Code Change

On December 10, 2018, DHCS released PPL 18-029 that, due to a change from the American Medical Association (AMA), DHCS will be eliminating the Current Procedural Terminology (CPT) Code 96101 for IEP/IFSP Psychological Assessments and replacing it with CPT Code 96130. This will apply to all assessment types of Initial, Triennial, Annual and Amended. The interim rates and modifiers will remain...

DHCS Documents Updated for 2016 Transportation Changes

On November 14, 2018, DHCS released PPL 18-027; this PPL is confirmation that DHCS updated their materials to accommodate the State changes made in 2016; it includes a link to the DHCS Transportation Billing Guide now updated to reflect these changes. As a reminder, special-education students’ medically necessary transportation in a litter van, wheelchair van, or a school bus equipped with...