National Research Project Needs Your Input

The American Federation of Teachers (AFT) is conducting research into school Medicaid programs across the country in an effort to collect data on how schools and districts leverage Medicaid billing for student health. If you are a program coordinator and would like to participate, or just learn more about the research project, follow the link below. The study takes just shy of 30 minutes to...

Federal Government Set to Reopen with Temporary Funding Bill through Feb. 8

This morning, the U.S. Senate passed a temporary funding bill to pave the way for keeping the federal government open through February 8, 2018. The bill still needs to pass the U.S. House, and is expected to do so easily. A permanent funding bill would need to be passed prior to February 8 to avoid another shutdown. As previously reported, we do not anticipate any impact to school-Medicaid...

Will a government shutdown impact school-Medicaid payments?

As the deadline looms for the federal government to approve funding for the fiscal year and avoid a shutdown, school-Medicaid stakeholders may be wondering what impact a shutdown would have on their programs. It doesn't appear that Medicaid payments will be affected by a temporary shutdown.  Several Federal congressional legislators have already identified on their websites that Medicare,...

Federal Audit of New Jersey School-Based Medicaid Programs Seeks $300M in Paybacks

The federal Office of Inspector General (OIG) released audit findings of New Jersey's school-based Medicaid programs in which they request the state refund over $300 million. Specifically, OIG determined: PCG, the state's contractor, improperly altered school employees’ responses to timestudies to indicate that their activities were directly related to providing Medicaid services when...

SDUSD Makes the Case for School Health Services

Michelle Bell, a longtime member of our school Medicaid billing community, was recently featured in an article about the impact of school health services on the students in San Diego Unified School District. We're proud to work alongside Michelle and grateful for the attention she brings to the importance of school health services and programs on a daily basis. The article was published by...

2017 California Legislation: What Passed & What Didn’t

In September, several bills with possible implications for school health programs under consideration by the California Legislature were either suspended or passed and signed into law by the Governor.  Two bills with direct implications for the SMAA and LEA Billing programs, AB 834 and AB 481, both failed to pass out of committee. Read on for a brief summary of what passed, what didn't, and...

Save the Date: SMAA RMTS Coder Training

The California Department of Health Care Services (DHCS) has announced their annual SMAA RMTS Coder Training webinar which will be open to all program coordinators and stakeholders. Date: Thursday, October  12, 2017 Time: 1:30-3:00pm PST Location: this training will be hosted online via webinar Click here to register

CMS Announces Medicaid and School-Based Health Services Affinity Group

The federal Centers for Medicare & Medicaid Services (CMS) has announced the development of a new group for state Medicaid agencies interested in "partnering with schools and public health to improve access to and the delivery of important preventative health services for children and adolescents." Officially called the Medicaid and School-Based Health Services Delivery Affinity Group, this...

DHCS Releases Vendor Fee Worksheets for Backcasting & RMTS Invoices

The Vendor Fee Worksheet (VFW), a new mechanism by which DHCS will ensure that LEAs can only claim (i.e. be reimbursed) for up to 15% of their total invoice amount in vendor fees, was released on August 2 after a months-long revision process by DHCS. This form was required to complete the first round of backcasted invoices from the SMAA deferral, as well as annually for RMTS claims starting...

Senate Rejects Slimmed-Down Obamacare Repeal as McCain Votes No

"WASHINGTON — The Senate in the early hours of Friday morning rejected a new, scaled-down Republican plan to repeal parts of the Affordable Care Act, derailing the Republicans’ seven-year campaign to dismantle President Barack Obama’s signature health care law and dealing a huge political setback to President Trump. Senator John McCain of Arizona, who just this week returned to the Senate...