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

The Implementation Advisory Group (IAG), a curated group of stakeholders that are working to address issues related to the transition of the LEA Medi-Cal Billing Option Program to RMTS, provided the following updates from their January 12, 2016 meeting: DHCS confirmed that they received CMS' Request for Additional Information (RAI) in response to the initial submission of the State Plan...

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

The Implementation Advisory Group (IAG), a curated group of stakeholders that are working to address issues related to the transition of the LEA Medi-Cal Billing Option Program to RMTS, provided the following updates from their December 9, 2015 meeting: DHCS is still waiting for CMS' response to the initial submission of State Plan Amendment (SPA) 15-021, which was submitted on September 20,...

CMS Requests Additional Information Regarding SPA 15-021

CMS has issued a request for additional information (RAI) regarding California's state plan amendment, (SPA) 15-021, which proposes several changes and expansions to the LEA Medi-Cal Billing Option Program. This is fairly common in the SPA approval process (some of you may remember that it took nearly two years to gain approval for the last LEA Billing state plan amendment,  SPA 03-024, back...

Exciting Changes Proposed for California’s LEA Direct Billing Program

In late September 2015, DHCS released a copy of their draft State Plan Amendment (SPA 15-021) which proposes several changes to the LEA Medi-Cal Billing Option program. If approved, the SPA includes several exciting additions that will impact California's participating school districts, including: newly eligible services, practitioners types, and a revised method for capturing time spent...

California State Plan Amendment (SPA) 03-024

Amendment 03-024 to California's State Medicaid Plan, approved by CMS in 2005 and effective retroactively to April 01, 2003; this SPA relates to LEA Services and Rate Methodology regulation which created the Cost and Reimbursement Comparison Schedule (CRCS) component for the LEA Billing Option program, ensuring the program is reimbursement on actual cost. View SPA 03-024... View CRCS details...