DHCS News Roundup

Over the past week, DHCS sent a handful of email announcements to LEAs regarding the operations of LEA Billing.  For your information, the roundup is below:  2017/18 CRCS Submission Docs Update   On Sept. 27, 2019, DHCS posted the template documents for the 2017/18 CRCS. In addition, DHCS posted PPL 19-019 (Sept 18, 2019), which calls for a small change in how to submit your...

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...

California Implements Billing for Telehealth LEA Speech Therapy Services

Effective July 1, 2016, speech-language assessment services and speech therapy treatment services, as defined in the Speech Therapy section of the LEA Medi-Cal Billing Option Program Provider Manual when performed via telemedicine, may be reimbursed to LEAs when provided to Medi-Cal eligible students with an Individualized Education Plan (IEP) or Individualized Family Services Plan (IFSP). In...

LEA Ad-Hoc Advisory Workgroup Publishes December 2015 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 December 2, 2015 meeting include: CDE noted that the California State Auditor has completed its audit regarding the...

Telehealth Speech Therapy Services Billable for California LEAs Starting June 2016

DHCS has published a policy and procedure letter (PPL) announcing the forthcoming implementation of telehealth for speech therapy services as billable under the LEA Medi-Cal Billing Option Program. Beginning on June 1, 2016, LEAs participating in the program will be able to bill for speech therapy assessment and treatment services delivered via telemedicine when provided to Medi-Cal...

California Takes New Steps Towards Implementing Telehealth Billing for Schools

In meeting minutes published this March, California's Department of Health Care Services (DHCS) announced that telehealth rate table and utilization controls are being established for implementation in the claims processing system for school-based Medi-Cal billing. Telehealth has been found to be an effective and affordable method for delivering primary health care to underserved children in...

Is California Ready for Telehealth Growth?

A convergence of trends -- health care reform, a shortage of physicians and advances in technology -- will result in the rapid growth of telehealth starting this year, according to researchers. A new report from IHS, a research and analytics company, predicts telehealth -- a catch-all term describing doctors and other providers diagnosing, treating and monitoring patients remotely using...

Progress on Implementing Telehealth for California’s LEA Billing Option Program

In a webinar held on September 26, 2013, the Department of Health Care Services (DHCS) reported on the steps being taken to implement Telehealth billing policy and guidance for the LEA Billing Option program. In a brief portion of the presentation devoted entirely to the LEA Billing Option program (see pg. 14-15 of the presentation PowerPoint), the Department discussed: plans to add a...

Telehealth Helps Improve Pediatric Care in Rural EDs, Study Finds

Telehealth consultations helped improve pediatric care in rural emergency departments, according to a study published in the journal Critical Care Medicine, FierceHealthIT reports. Read the full article from California Healthline...