Paradigm Healthcare Services

September Medi-Cal Bulletin for LEAs Posted – Updated Reimbursement Rates & Adjustments of LEA Claims

The September Medi-Cal Bulletin for California LEAs has been published to the DHCS website. Two items of interest…


Help the California School-Based Health Alliance Set Their 2018 Policy Priorities

The California School-Based Health Alliance (CSHA), a statewide nonprofit which aims to improve health and academic…


DHCS Issues Clarification on Coordination of Care with Managed Care Plans

California's Department of Health Care Services (DHCS) has issued clarification on a previous email regarding protocols…


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…


California Announces New System for Obtaining Student Medi-Cal Eligibility Information

DHCS has notified California LEAs and their billing partners that a new system, known as MOVEit, will be used moving…


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…


CMS Announces Medicaid and School-Based Health Services Affinity Group

The federal Centers for Medicare & Medicaid Services (CMS) has announced the development of a new group for state…


DHCS Releases Vendor Fee Worksheets for Backcasting & RMTS Invoices

The Vendor Fee Worksheet (VFW), a new mechanism by which DHCS will ensure that LEAs can only claim (i.e. be reimbursed)…


OT/PT Service Billing Impacted by Change to California Children's Services Program

California's 2017-18 state budget, which went into effect on July 1, 2017, included $1.6 million for nonmedically…


Why ACA Repeal Efforts Hurt Schools & How to Get Involved

Efforts to repeal the Affordable Care Act (ACA), also known as Obamacare, continue to make headlines as members in…