SMAA Workgroup Publishes May 2019 Meeting Notes

The SMAA Workgroup posted the meeting notes from their May 1, 2019, SMAA Workgroup Meeting; highlights from that meeting include: Draft PPL 19-XXX, RMTS Sample Period—Continued the discussion from their April 17 meeting specifically regarding adjusting quarter four to accommodate the four day response period, see below: DHCS confirmed that reducing the quarter 4 sample period by 4...

SMAA Workgroup Publishes April 2019 Meeting Notes

The SMAA Workgroup posted the meeting notes from their April 17, 2019, SMAA Workgroup Meeting; highlights from that meeting include: Draft PPL 19-XXX, RMTS Sample Period—Addressing submitted stakeholder comments and questions Moments assigned for the last minute of a shift; currently, the system may create a moment that begins the minute a shift ends (e.g., shifts ending at 5:00 pm may...

DHCS Confirms Notification Timeline for RMTS Moments with PPL 19-006

On February 13, 2019, DHCS released PPL 19-006—Notification and Response Timeline for Random Moment Time Survey (RMTS) Moments which confirms the 1/4 notification timelines are effective for the 2019/20 fiscal year. This means TSPs will be notified one attendance day in advance of their moment and then have four attendance days after to submit their response.

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