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

The Implementation Advisory Group (IAG) has published minutes from their August 1, 2017 meeting. Of interest: DHCS gave a brief update on SPA 15-021,  noting that on June 9th CMS asked several additional Requests for Information (RAIs). The Department noted that the RAI responses are undergoing final management review before they will be submitted to CMS. In addition, the LEA RMTS...

LEA Ad-Hoc Advisory Workgroup Publishes June 2017 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 June 7, 2017 meeting include: In April 2017, DHCS posted the finalized Annual Accounting of Funds Summary Report...

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

The Implementation Advisory Group (IAG) has published minutes from their January 31, 2017 meeting, and discussed the following topics: DHCS presented a draft chart that identified LEA services that are proposed under SPA 15-021. The chart covered IEP/IFSP services, non-IEP services covered under “plans of care” and other non-IEP services that are outside of a plan of care (e.g., first...

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

The Implementation Advisory Group (IAG) has published minutes from their November 8, 2016 meeting, and discussed the following topics: The IAG members reviewed draft LEA Provider Manual language and suggested content placement related to incorporating RMTS information into the existing LEA Provider Manual. The IAG members will review an updated version of the proposed LEA Provider Manual...

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

The Implementation Advisory Group (IAG) has published minutes from their October 4, 2016 meeting, and discussed several important topics: The IAG reviewed proposed procedure codes and modifiers for the new services and practitioners included in SPA 15-021. The IAG members discussed how RMTS will be incorporated into the LEA Provider Manual The next IAG meeting is scheduled for November...

California Quietly Rolls Out School Medicaid Billing for Non-IEP/IFSP Students

Following the December 2014 repeal of the federal Free Care rule, this week the Department of Health Care Services (DHCS) published an updated Provider Manual for the LEA Medi-Cal Billing Option program which removes references to the prohibitive Free Care rule. This update technically clears the way for public schools in California to begin billing for certain health services, including...

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

The Implementation Advisory Group (IAG) has published minutes from their September 13, 2016 meeting, which included a review of the draft State Plan Amendment and RMTS-related training slides for the Fall LEA Program training, scheduled for October 13, 2016. If you are not yet registered for the upcoming DHCS Fall LEA Program training, which will be hosted via web conferencing, click here...

Free Care Manual Update & Service Rates Expected September 2016

In an email dated August 30, 2016, California's Department of Health Care Services (DHCS) announced several updates to ongoing policy and guidance related to the LEA Medi-Cal Billing Option Program. Key updates regarding DHCS' Free Care Policy Clarification and rates for Telehealth and new Speech codes are not yet effective. DHCS states that they anticipate these will be published in September...

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...

LEA Ad-Hoc Advisory Workgroup Publishes June 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 June 1, 2016 meeting include: Review of Senate Bill 123, which would have a limited impact on the LEA Medi-Cal...