Senate Bill 276 Passes, Taking One Step Closer to Rollout of Free Care

September 2, 2015 – Sacramento, CA – The California Senate recently passed Senate Bill (SB) 276, introduced by Senator Wolk; this is exciting news because this directly impacts both the free care and Third Party Liability (TPL) billing issues for California schools. You may recall, in December 2014 the Centers for Medicare & Medicaid Services (CMS) reversed their opinion on “free...

Paradigm is Proud to Announce New Student Health Network (SHN)

May 8, 2015 – San Francisco, CA – Paradigm is excited to announce that this Fall we will be launching our new Student Health Network (SHN) though we currently have some early-adopters who are already using the new SHN in what we have termed the “SHN Beta” period. These early adopters will be using the new SHN and providing feedback so that we can continue to make this a product that works...

Doing Our Part to Address Free Care

January 29, 2015 - San Francisco, CA - There has been a lot of buzz about the federal government's recent reversal of the free care rule, a policy that had effectively prevented schools from billing Medicaid for health services provided to their general education population. The reversal of this policy is the biggest thing to hit school Medicaid billing programs in the last decade and people are...

You Inspire Us!

December 16, 2014 – San Francisco, CA – We at Paradigm believe that School Medicaid Billing Programs play a significant role in enhancing opportunities for students and families in our communities. Moreover, we know this would not be possible without the commitment, and dedication, to gathering the paper, signing the forms, and organizing the files—your daily work makes a difference for...

Paradigm Speaks at National Convening on Free Care and Third Party Liability

August 9, 2014 - Washington, D.C. - Paradigm Healthcare Services was invited to speak at a gathering of children's health leaders, advocates, and associations to discuss the history of two major obstacles to funding for school health services, free care and third party liability (TPL).  The meeting was hosted by LEAnet and sponsored by the National Alliance of Medicaid in Education (NAME). ...

Promoting the Importance of School Medicaid Programs

June 12, 2014 - San Francisco, CA - It has been an eventful few years for California's school Medicaid programs, to put it mildly. For example, California's school Medicaid Administrative Activities (MAA) program is still subject to a federal payment deferral, and schools are awaiting the implementation of a new state MAA program, which includes a change to the time survey methodology. At...

“We are helping kids. It’s MAAvelous!”

April 24, 2014 – San Francisco, CA – Paradigm hosts School Medicaid Coordinator Conferences throughout California on an annual basis to provide school administrators, program coordinators, and fiscal coordinators with a renewed grasp on their Medicaid billing programs. Attendees are exposed to new data and information that help them achieve compliance with program rules and running...

Buzz About “Heartbleed”

April 16, 2014 - San Francisco, CA - The first responsibility of any vendor working with schools and students' data is to ensure the integrity and the confidentiality of records.  In fact, we are bound by law to keep specific data about students confidential, including information related to health services provided in the school setting. A bug, aptly named Heartbleed, has been identified in a...

ICD-10 Update

April 7, 2014 – San Francisco, CA – Preparations have been underway for a transition from ICD-9 codes to ICD-10 diagnostic codes, which were to be effective October 1, 2014. However, on April 1, 2014, President Barack Obama signed HR 4302, the "Protecting Access to Medicare Act of 2014," which included a delay to the ICD-10 conversion by one year, to October 2015. This change will impact...

MAA Whirlwind: Time Surveying Continues for California LEAs in FY 2013/14

December 3, 2013 – San Francisco, CA – It’s the day after the state’s deadline for the newly required school MAA claim plan documentation, which will enable LEAs to continue time surveying in FY 2013/14 in order to receive federal reimbursements for Medi-Cal Administrative Activities occurring at school sites (“SMAA”). The flurry of activity to get to this point has been astounding,...