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 2016 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...

RMTS for LEA Billing — Implementation Advisory Group Publishes May Meeting Summaries

The Implementation Advisory Group (IAG) has published minutes from their meetings on May 4th and May 31st, including the following updates: The IAG is actively seeking stakeholder feedback regarding a technical software “wish list." This list includes reports and functionality that would be beneficial for users in three major categories: Time Survey Participant (TSP) Management, RMTS...

California’s Shortage Of School Nurses Covered by California Healthline

A new national pediatric guideline proposes that every school have a nurse on staff. In California, 57 percent of school districts do not employ nurses. In an article that focuses on new recommendations that call for every California school district to have a school nurse on site, California Healthline examines the extreme shortage of school nurses in schools throughout the state and covers...

DHCS Releases Report to the Legislature on the LEA Billing Program

As part of a requirement to submit annual reports to the California Legislature on the state of the LEA Medi-Cal Billing Option program, DHCS issued their first report in several years on March 29, 2016. Information in this most recent Report to Legislature dates back to 2012, but also includes some data on 2013 and 2014. The report covers a wide range of topics, including a comparison...

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

The Implementation Advisory Group (IAG) provided the following updates from their March 1, 2016 meeting: DHCS has submitted the first phase of responses to CMS' Request for Additional Information (RAI). DHCS and CMS will hold a conference call mid-March to discuss the Department's Phase I responses. DHCS received several points of feedback from program coordinators and other...

DHCS Releases Preliminary Guidance on Impact of Free Care-Focused Senate Bill

A recent bill signed into law by Governor Jerry Brown will require the Department of Health Care Services (DHCS) to seek federal financial participation for covered services regardless of whether an Individualized Education Plan (IEP) is in place. Additional language in the bill will require legally liable third party payers to either reimburse school-based health claims or issue a notice of...

RMTS for LEA Billing – Implementation Advisory Group Publishes February Meeting Summary

The Implementation Advisory Group (IAG) provided the following updates from their February 2, 2016 meeting: DHCS has a meeting scheduled with CMS for January 26 to discuss the Request for Additional Information (RAI) submitted by CMS following their initial review of State Plan Amendment 15-021. The group is reviewing several RMTS Implementation Guides from other states and a federal audit...