News: LEA Billing

RMTS for LEA Billing—Implementation Advisory Group Publishes October Meeting Summary

The Implementation Advisory Group (IAG) has published minutes from their October 3, 2017 meeting. Of interest: Navigant presented the technical RMTS “Wish List” items that were discussed during previous IAG meetings. The IAG discussed these items with DHCS and asked for them to be considered in...

LEA Ad-Hoc Advisory Workgroup Publishes August 2017 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 August 2, 2017...

November Medi-Cal Bulletin for LEAs Posted—RTD Generation Phasing Out Over Next 12 Months

The November Medi-Cal Bulletin for California LEAs has been published to the DHCS website. One item of interest is the announcement that DHCS will be discontinuing the generation of Resubmission Turnaround Documents (RTDs) over the next 12 months. The discontinuation will happen in multiple phases,...

Register by November 22 for Next LEA Advisory Workgroup Meeting

LEAs interested in attending the bi-monthly LEA Advisory Workgroup meeting (also known as the ‘LEA Ad-Hoc Meeting’) should RSVP to Cheryl Ward at DHCS by Wednesday, November 22, 2017. The meeting will take place on December 13, 2017 from 10:30 a.m. – 3:30 p.m. at Natomas Unified...

SDUSD Makes the Case for School Health Services

Michelle Bell, a longtime member of our school Medicaid billing community, was recently featured in an article about the impact of school health services on the students in San Diego Unified School District. We’re proud to work alongside Michelle and grateful for the attention she brings to...

New Resource for LEAs & Parents Regarding EOBs for School Health Services

DHCS has published a one-page informational that LEAs can share with parents regarding private insurance, explanation of benefits (EOB) statement for school health services, and impact to public benefits. When a child has both Medi-Cal and Other Health Coverage (OHC) through private insurance, and a...

UPDATED: DHCS Clarifies Position, Expressly Allows OT & PT Treatment Services Prescribed by LEA-Contracted Physicians

**Update as of October 2, 2017** Since this post was originally published, DHCS has extended the 6-month renewal requirement to an annual renewal requirement for OT and PT prescriptions. The announcement was made in an email from DHCS to LEAs on September 27, 2017, stating: “On August 24,...

2017 California Legislation: What Passed & What Didn’t

In September, several bills with possible implications for school health programs under consideration by the California Legislature were either suspended or passed and signed into law by the Governor.  Two bills with direct implications for the SMAA and LEA Billing programs, AB 834 and AB 481, both...

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 include: Notification that LEAs can expect to see additional dollars related to retroactive reimbursement rate increases dating back to dates of survey on or after July 1, 2016. DHCS...

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 success of children and youth by advancing health services in schools, is setting their policy priorities for 2018 and inviting CSHA members to provide feedback during a call on...