LEA Medi-Cal Billing Program Fall 2016 Training - DHCS

Event:  Local Educational Agency (LEA) Medi-Cal Billing Option Program Fall 2016 Webinar Training

Suggested Attendees:  School Districts, County Offices of Education, Charter Schools, or Community Colleges currently participating in or interested in participating in the LEA Medi-Cal Billing Option Program; LEA Medi-Cal Billers and Program Coordinators; LEA Billing Vendors

  • Date:  Thursday, October 13, 2016
  • Time:  9:00 a.m. to noon
  • Location: Webinar

The California Department of Health Care Services (DHCS) will be conducting a webinar training for LEA providers that participate in the LEA Medi-Cal Billing Option Program, and other interested stakeholders.  You are invited to attend this webinar training on Thursday, October 13, 2016.  This training is strongly advised to receive updated information regarding LEA Medi-Cal Billing Option Program policy and procedures.

Training topics will include:

  • Resources for Basic Program Requirements (links to resources)
  • Participation Requirements Updates (Provider Participation Agreement, Annual Report, Data Use Agreement, Cost and Reimbursement Comparison Schedule, and Zero Reimbursement Certification)
  • LEA Claims Processing (Overview of LEA Program Trends Over Time; Erroneous Payment Corrections, FY13-14 Fair Share Reconciliations; program support costs)
  • Policy Updates (Electronic Signatures; Explanation of Benefits/Other Health Coverage; Free Care)
  • SPA 16-001 Update (Targeted Case Management Services)
  • SPA 15-021 Update (new providers; new services; Random Moment Time Survey)
  • Telehealth for Speech Language Pathology (new LEA Provider Manual section; claims requirements; common questions)
  • Elimination of CPT 92506; New CPT Codes (revised LEA Provider Manual sections; claims requirements; common questions)
  • Documentation Issues (common audit findings; LEA documentation responsibilities; Nursing and THCA Services Treatment Log)
  • Q & A

Senate Bill 123 Hearing

Senate Bill 123, Medi-Cal: school-based administrative activities, is set to be heard in the California Assembly Appropriations Committee on Wednesday, August 3, 2016.

The bill is one of many that will be heard on Wednesday in a rush to hear all pending legislation before the August 31 deadline for bills to pass out of the Legislature or expire.

You can listen to the hearing online by clicking here.


New Electronic Signature Guidelines are Effective

The California Department of Health Care Services (DHCS) has issued new guidelines for electronic signatures in electronic health records (EHRs) when used by LEAs participating in the LEA Billing, SMAA, and TCM programs. Detailed in Policy and Procedure Letter (PPL) 16-010, the new guidelines will require any software or system that utilize electronic signatures in EHRs to include certain protections against modification.

Read more in our blog post, "DHCS Releases Guidelines to LEAs for Electronic Signatures on EHRs," published June 21, 2016.

LEA Billing for Telehealth Speech Services Begins in California

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 (loc ed serv spe) 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 order to bill for telemedicine speech services, conditions outlined in DHCS Policy and Procedure Letter (PPL) 15-024R must be met. These include telemedicine system requirements, provider requirements (both the provider performing the service via telehealth and the provider with ultimate responsibility for the care of the student), consent requirements, and record retention requirements.

California Legislature: Last Day for Governor to Sign or Veto Bills

Last day for Governor to sign or veto bills passed by the Legislature before Sept. 1, and in the Governor’s possession on or after Sept. 1.

Search current bills, status, and history on California's Legislative Information website.

Bills we're tracking this session:

California Legislature: Last Day for Bills to Pass Each House

Last day for each house to pass bills, except bills that take effect immediately or bills in Extraordinary Session. Final Recess begins upon adjournment.

Search current bills, status, and history on California's Legislative Information website.

Bills we're tracking this session:

Fiscal Year 2016-17 Starts

2016-17 Q1 begins August 1, 2016 and ends October 31, 2016.

NAME Annual Conference

The National Alliance for Medicaid in Education (NAME), an organization comprised of members from the nation's school districts and state Medicaid and Education agencies who are involved in administration of Medicaid claiming for school-based services, will be hosting their annual conference in Bozeman, Montana.

The program of events continues to develop, but you can view the program as of June 14th on the NAME website.

LEA Program Advisory Workgroup (Ad-Hoc)

Participants in the LEA Advisory Workgroup represent large, medium, and small school districts, county offices of education, professional organizations representing LEA services, DHCS, and the State Department of Education. Meetings are held every other month and provide a forum for LEAs to identify relevant issues and make recommendations to improve the LEA Program.

Past meeting minutes are available on the DHCS LEA Advisory Workgroup website.

Advocating for Equity in Education & Health Care, School Health Conference

The California School-Based Health Alliance invites you to join hundreds of education leaders, health care providers, and children's advocates in Sacramento May 5-6 for Advocating for Equity in Education & Health Care. The conference will feature workshops on increasing education and health equity for children, exhibits, networking, and a spoken word presentation by student health advocates with “The Bigger Picture.”

Leaders in education understand the important role health plays in improving students’ academic equity. Join other educators that share your commitment to equity at the California School-Based Health Alliance’s statewide conference – Advocating for Equity in Education & Health Care - in Sacramento May 6. Network with other educators and children’s advocates, learn, and get resources to advance our collective mission to give all kids an opportunity to succeed.

Location:          Sheraton Grand Sacramento

Schedule:         May 5 (pre-conference): Come early for an optional in-depth pre-conference workshop. Choose from: Creating trauma-informed schools and classrooms; Appropriately applying HIPAA, FERPA, & other confidentiality laws; or SBHCs 101: The nuts and bolts of starting a school-based health center.

In the afternoon, lend us your voice and join the school health field as we fan out across the Capitol for advocacy visits with legislators and key policymakers. Plan to join us in the evening for a welcome reception!

May 6: Attend the full day of workshops, exhibits, and networking. A live performance by student health advocates with The Bigger Picture will energize and inspire you.

Register at www.schoolhealthcenters.org before February 29 to receive discounted rates! Rooms at the Sheraton that are available with our discounted rate are limited so book your room now before it is too late.

Workshops include:

  • Connecting Schools & Health: Addressing Disparities to Improve Academic Success
  • Building School-Based Support for Unaccompanied Immigrant Youth
  • Creating Trauma-Informed Schools
  • Comprehensive School-Based Mental Health: A District’s Model for Prevention & Intervention
  • Parents & Schools Partnering to Improve Student Mental Health
  • Does the End of Free Care Mean the Start of Free Money?
  • The California Healthy Youth Act: Understanding the New Sex Education Law
  • Healthy Students Make Good Learners: Connecting Kids to Coverage & Care

See all workshops and speakers at http://bit.ly/schoolhealth2016.