22 CCR § 51190.1-55190.4: LEA Definitions

California Code of Regulation that provide definitions for eligibility, provider, practitioner, and services under the LEA Billing Option program. Read the CCR (search 'Title 22', section '51190')...

CMS 9989-P: Establishment of Exchanges and Qualified Health Plans, ACA

This proposed federal rule would implement the new Affordable Insurance Exchanges, as part of the Affordable Care Act (ACA, 'Health Reform'), which will become operational by January 1, 2014. The commenting period for this regulation is open through October 31, 2011. Read CMS 9989-P...

34 CFR Part 99: Family Educational Rights and Privacy Act (FERPA)

FERPA protects the privacy of student education records. The law applies to all schools that receive funds under an applicable program of the U.S. Department of Education. Read CFR-2011-title34-vol1-part99 FERPA...

42 CFR Parts 405, 424, 447, 455, 457 and 498 (CMS 6028-FC): Medicaid Integrity

A final rule regulating additional screening requirements, application fees, temporary enrollment moratoria, payment suspensions and compliance plans for providers and suppliers participating in the Medicare, Medicaid, and Children's Health Insurance programs. This regulation implements parts of the Affordable Care Act (ACA, 'Health Reform'). Read Final Rule CMS 6028 FC...

42 CFR 433, Sections 135-140

Code of federal regulation related to third party liability, 42 CFR Part 443, Subpart D - Third Party Liability; Pertinent citations: 42 CFR 433.136, 42 CFR 433.138, and 42 CFR 433.139(b)(1). Read CFR-2010-title42-vol4-part433-subpartD...

42 CFR 433 – State Fiscal Administration of Medical Assistance Programs

Code of federal regulation related to state fiscal administration of medical assistance programs under the federal Centers for Medicare and Medicaid Services (CMS) and the U.S. Department of Health and Human Services (DHHS). Read CFR-2010-title42-vol4-part433.pdf

34 CFR Part 300: IDEA Part B Regulations

Children and youth (ages 3-21) receive special education and related services under IDEA Part B; pertinent citations: Subpart D - Evaluations, Eligibility Determination, Individualized Education Programs and Educational Placements 34 CFR 300.300 (Parental Consent) and 301 (Initial Evaluations). 34 CFR Part 300 was updated in February of 2013. View the current IDEA Part B regulation...

Welfare & Institutions Code (W&IC) Section 14115.8: Medi-Cal LEA Billing Option Program Improvement

California law, originally established by SB 231 (Ortiz, 2001), that provides for the LEA Ad-Hoc Workgroup and various other activites the California Department of Health Care Services (DHCS) must engage in to improve the state's participation in the LEA Billing Option program which reimburses school district for certain direct medical services provided to the student population. Read CA WIC Sec...

Section 1902 of Title XIX of the Social Security Act

Provision dictating requirements for state plans for medial assistance; pertinent citations include: 1902(a)(11)(B), (a)(17)(B), and (a)(25). View the Social Security Act SS1902...