DHCS Submits Proposal Outlining the Implementation of RMTS for FY 2014/15 and “Reasonableness Test” Criteria for Approving Deferred School MAA Claims

On August 15, 2013 the California Department of Health Care Services (DHCS) submitted two documents aimed at resolving the ongoing school MAA program (SMAA) deferral and new plan development process to the federal Centers for Medicare and Medicaid Services (CMS).  A formal update posted to the Department’s website earlier this week provides a thorough review of the current issues and summary...

New Information Reported for School MAA Deferral and New Plan Development, Official DHCS Update for LEAs Coming Soon

At a recent Local Educational Consortia (LEC) meeting, the California Department of Health Care Services (DHCS) shared an update on their progress toward resolving the ongoing school MAA deferral and establishment of a new program plan. While details vary, the Department reported that: DHCS is working to obtain federal approval of an interim claiming process for the upcoming fiscal year...

California DHCS Provides Update on School MAA Program Deferral and Interim Claiming Plan

On April 18, 2013, the California Department of Health Care Services (DHCS) emailed an update to regional agencies regarding the ongoing school Medi-Cal Administrative Activities (MAA) program deferral. A summary of updates contained in the letter are outlined below. DHCS has a conference call scheduled with the federal Centers for Medicare and Medicaid Services (CMS) on Tuesday May 7, 2013 to...

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

National Study of RMTS Reissued with Foreword by Paradigm’s Policy & Research Division

San Francisco, CA - January 3, 2013 - Originally published in August of 2011, this brief highlights the positive administrative and fiscal effects of Random Moment Time Study (RMTS) as reported by various state representatives. It has been updated with a new introduction framing the study in the current landscape of change for California's school MAA program. In the coming months, Paradigm will...

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

Federal Audits Planned for California’s School-Based MAA Program

Sacramento, CA - December 14, 2011 - The Centers for Medicare and Medicaid Services (CMS) recently notified California's Department of Health Care Services (DHCS) of a planned audit and review of the School-Based Medi-Cal Administrative Activities (SMAA) claiming program. As a condition of participating in school-based Medicaid claiming programs, Local Education Agencies (LEAs) are subject to...

Policy Brief: National RMTS Study

As announced in June 2011, California is currently exploring increased use of RMTS starting in fiscal year 2012/13. To help California plan a smooth transition to the increased use of RMTS, Paradigm’s Policy and Research Division has investigated the experiences of 11 other states with this methodology. This Policy Brief contains the findings of our National RMTS Study. Policy Brief National...

PPL 11-007: RMTS Plan Guidelines for California Consideration

California's Department of Health Care Services (DHCS) has released PPL 11-007, Random Moment Time Survey (RMTS) Methodology Plan Guidelines for Local Educational Consortia and Local Government Agency for School-Based Medi-Cal Administrative Activities. Read PPL 11-007 RMTS.pdf **Note: this PPL was later rescinded by DHCS.