RMTS for LEA Billing — Implementation Advisory Group Publishes August Meeting Summary

The Implementation Advisory Group (IAG) provided the following updates from their August 9, 2016 meeting: Workgroup members are testing the draft CRCS and related instructions; two LEA members will be using their own data to provide detailed feedback to DHCS on edits and other suggestions. The draft CRCS is in the final stages of testing and the IAG expects to submit this to CMS in the...

RMTS for LEA Billing — Implementation Advisory Group Publishes May Meeting Summaries

The Implementation Advisory Group (IAG) has published minutes from their meetings on May 4th and May 31st, including the following updates: The IAG is actively seeking stakeholder feedback regarding a technical software “wish list." This list includes reports and functionality that would be beneficial for users in three major categories: Time Survey Participant (TSP) Management, RMTS...

RMTS for LEA Billing – Implementation Advisory Group Publishes April Meeting Summary

The Implementation Advisory Group (IAG) provided the following updates from their April 5, 2016, meeting: DHCS discussed stakeholder feedback regarding an inquiry as to whether RMTS coders would need to determine whether direct health service moments coded to Code 2 were actually billed with proper supporting documentation by a qualified Medi-Cal provider. Belief is that the coder will be...

RMTS for LEA Billing — Implementation Advisory Group Publishes March Meeting Summary

The Implementation Advisory Group (IAG) provided the following updates from their March 1, 2016 meeting: DHCS has submitted the first phase of responses to CMS' Request for Additional Information (RAI). DHCS and CMS will hold a conference call mid-March to discuss the Department's Phase I responses. DHCS received several points of feedback from program coordinators and other...

RMTS for LEA Billing – Implementation Advisory Group Publishes February Meeting Summary

The Implementation Advisory Group (IAG) provided the following updates from their February 2, 2016 meeting: DHCS has a meeting scheduled with CMS for January 26 to discuss the Request for Additional Information (RAI) submitted by CMS following their initial review of State Plan Amendment 15-021. The group is reviewing several RMTS Implementation Guides from other states and a federal audit...

LEA Ad-Hoc Advisory Workgroup Publishes December Meeting Minutes

The LEA Ad-HOc Advisory Workgroup, comprised of LEA representatives, DHCS, and the California Department of Education (CDE), held their regularly scheduled meeting to make recommendations and discuss issues impacting the LEA Medi-Cal Billing Option Program. Highlights from the December 2, 2015 meeting include: CDE noted that the California State Auditor has completed its audit regarding the...

RMTS for LEA Billing – Implementation Advisory Group Publishes January Meeting Summary

The Implementation Advisory Group (IAG), a curated group of stakeholders that are working to address issues related to the transition of the LEA Medi-Cal Billing Option Program to RMTS, provided the following updates from their January 12, 2016 meeting: DHCS confirmed that they received CMS' Request for Additional Information (RAI) in response to the initial submission of the State Plan...

RMTS for LEA Billing – Implementation Advisory Group Publishes December Meeting Summary

The Implementation Advisory Group (IAG), a curated group of stakeholders that are working to address issues related to the transition of the LEA Medi-Cal Billing Option Program to RMTS, provided the following updates from their December 9, 2015 meeting: DHCS is still waiting for CMS' response to the initial submission of State Plan Amendment (SPA) 15-021, which was submitted on September 20,...

CMS Requests Additional Information Regarding SPA 15-021

CMS has issued a request for additional information (RAI) regarding California's state plan amendment, (SPA) 15-021, which proposes several changes and expansions to the LEA Medi-Cal Billing Option Program. This is fairly common in the SPA approval process (some of you may remember that it took nearly two years to gain approval for the last LEA Billing state plan amendment,  SPA 03-024, back...

Exciting Changes Proposed for California’s LEA Direct Billing Program

In late September 2015, DHCS released a copy of their draft State Plan Amendment (SPA 15-021) which proposes several changes to the LEA Medi-Cal Billing Option program. If approved, the SPA includes several exciting additions that will impact California's participating school districts, including: newly eligible services, practitioners types, and a revised method for capturing time spent...