New Guidance Released to Help Schools Certify Deferred School MAA Claims

California’s Department of Health Care Services (DHCS) recently posted new guidance documents related to the ongoing SMAA deferral to their website. The Reasonableness Test Criteria (RTC) Sample Justifications are intended to give school districts an idea of what DHCS will be looking for when reviewing RTC claim justifications that were submitted by districts as part of the process to receive...

California School MAA Program Deferral and RMTS Update

Deferred SMAA Invoice Payments The April 30, 2014 deadline for submission of Reasonableness Test Criteria (RTC) paperwork for invoices included on the December 2013 CMS-64 report has passed. RTC paperwork is required for any school district that wants to justify previously deferred invoices that exceed coding or job classification ratio benchmarks established by PPL 13-012. In April, DHCS...

California Announces New Stakeholder Forum for School MAA Program

California's Department of Health Care Services (DHCS) has announced their first, in an ongoing series, School MAA (SMAA) Stakeholder Forum scheduled to take place on February 12, 2014.   The goal is to provide a transparent and inclusive forum for interested parties to discuss the program openly with each other and the Department.  The announcement of the series of Stakeholder Forums was...

California School MAA Program Deferral and RMTS Update

Reasonableness Test Criteria (RTC) & Deferred MAA Claims Back in October 2013 the state released PPL 13-012 in which they lay out the process by which schools will receive money for claims that have been deferred since June 2012.  Once the RTC has been applied to each deferred invoice and the results are approved, the invoices will be processed for payment.  The process of applying the...

PPL 13-012: Reasonableness Test Criteria (RTC) – Updated

**Note: DHCS released a revised and updated version of PPL 13-012 on December 13, 2013. This revision makes important clarifications to the RTC process. The purpose of this Policy and Procedure Letter (PPL) is to establish the parameters for LEAs, LECs and LGAs to apply the Reasonableness Test Criteria (RTC) developed by the Department of Health Care Services (DHCS) in accordance with the...

MAA Whirlwind: Time Surveying Continues for California LEAs in FY 2013/14

December 3, 2013 – San Francisco, CA – It’s the day after the state’s deadline for the newly required school MAA claim plan documentation, which will enable LEAs to continue time surveying in FY 2013/14 in order to receive federal reimbursements for Medi-Cal Administrative Activities occurring at school sites (“SMAA”). The flurry of activity to get to this point has been astounding,...

Deferral Resolution and New Plan Milestone Timeline Approval Letter

Effective October 23, 2013, the Centers for Medicare and Medicaid Services (CMS) has granted approval to the California  Department of Health Care Services (DHCS) for the methodology developed to resolve all deferred costs for school based administrative claims and a request to permit interim claiming for school based administrative costs incurred during State Fiscal Year (SFY) 2013/2014. The...

DHCS Adds ‘What’s New’ Page to School MAA Website

California's Department of Health Care Services (DHCS) has created a new page for listing updates to the school Medi-Cal Administrative Activities (SMAA) program, providing a new level of transparency for participating local educational agencies. This page will be updated as information is made available regarding the ongoing deferral of reimbursements, interim claiming processes, and efforts to...