April 23, 2014
California’s Certified Application Assister (CAA) Program Officially Closes, CAAs Encouraged to Become Certified Enrollment Counselors (CECs)
Read full Certified Application Assister Program Bulletin here...
December 13, 2013
PPL 13-012: Reasonableness Test Criteria (RTC) – Updated
**Note: DHCS released a revised and updated version of PPL 13-012 on December 13, 2013. This revision makes important clarifications to the RTC process.
The purpose of this Policy and Procedure Letter (PPL) is to establish the parameters for LEAs, LECs and LGAs to apply the Reasonableness Test Criteria (RTC) developed by the Department of Health Care Services (DHCS) in accordance with the...
November 13, 2013
PPL 13-015: Interim Claiming Plan Procedure Changes for LEAs for SFY 2013-14
The Centers for Medicare and Medicaid Services (CMS) approved an Interim Claiming process for the SMAA program on November 1, 2013. Each LEA must identify their Time Survey Participant Universe prior to any LEA participation in the Interim Claiming process for SFY 2013-2014.
Download PPL 13-015 - Interim Claiming Procedure Change...
View Attachment A, 'Time Survey Authorized Positions and...
November 7, 2013
PPL 13-013: CMAA/TCM Implementation Plan Amendment – MAA for Inmates
The purpose of this Policy & Procedure Letter is to notify LGA’s participating in the CMAA Program of an amendment to the "Time Survey Methodology for the County Based Medi-Cal Administrative Activities (CMAA) and Targeted Case Management (TCM) Programs and CMAA Program Operational Plan".
Per PPL 13-013 and the CMS approval letter which authorized it, effective immediately, CMAA program...
October 25, 2013
Draft California School-Based MAA and RMTS Manual, October 2013
The first draft of California's new school Medi-Cal Administrative Activities (SMAA) plan, which will utilize the Random Moment Time Survey (RMTS) methodology, was posted to the Department of Health Care Services' (DHCS) website on October 25, 2013.
DHCS will continue negotiating details of the new school SMAA program with federal CMS and is anticipated to release the final plan with an...
May 3, 2013
County Based Medi-Cal Administrative Activities Program Operational Plan, Approved by CMS May 3, 2013
California's operational claiming plan for the County Medi-Cal Administrative Activities (CMAA) and Targeted Case Management (TCM) programs for claiming beginning in fiscal year 2013-14, on July 1, 2013.
View the DHCS CMAA-TCM-Implementation-Plan 2013...
Visit the DHCS CMAA website...
January 8, 2013
PPL 13-001: LEA Billing Program – Revision to Medical Transportation Outlined in Assembly Bill 2608
This Policy and Procedure Letter (PPL) notifies LEAs participating in the LEA Medi-Cal Billing Option Program that specific provisions set forth in the California Code of Regulations (CCR), Title 22 Sections 51323(a)(2)(A), 51323(a)(3)(B), 51231.1(f), and 51231.2(e), shall not apply to medical transportation eligible to be billed under the LEA Medi-Cal Billing Option Program.
Read PPL 13-001-LEA...
January 1, 2013
DHCS Report to Legislature on the LEA Billing Option Program, May 2012
Report period: April 2011 through May 2012.
View the Report to Legislature...
January 1, 2013
Medi-Cal Provider Manual Parts 1 & 2 – LEA Billing Option Program Sections
A direct link to an always-current excerpt from the California Department of Health Care Services' Medi-Cal Provider Manual, specific to the operation of the LEA Billing Option Program.
View the California LEA Provider Manual...
November 1, 2012
Example CMS Deferral Release Notification Letter
This example correspondence from the Department of Health Care Services (DHCS) to a California regional agency announces the release from CMS deferral of a contracted school district participating in the school MAA program.
DHCS Deferral Approval Letter_Redacted.pdf