PPL 19-011R—Random Moment Time Survey (RMTS) Sampling Requirements—Now Available on DHCS Website

On June 13, 2019, DHCS published Policy and Procedure Letter (PPL) 19-011R Random Moment Time Survey (RMTS) Sampling Requirements to their website. This PPL confirms that, since a moment in RMTS is one minute in time, there should not be any moments issued during the final minute of a time survey participant’s (TSP) work schedule. DHCS gives the example that if a TSP is scheduled to work an...

DHCS Posts Training Slides and FAQs for Their LEA Medi-Cal Billing Program SPA 15-021 Implementation Training

DHCS held a State Plan Amendment (SPA) 15-021 implementation training in Southern California on April 22, 2019, and in Northern California on May 9, 2019. At the training, they confirmed that SPA 15-021 had not yet been approved by CMS and so all the training was pending that approval. On June 10, 2019, they posted the PowerPoint slides and FAQs. SPA 15-021 Implementation Training Slides ...

DHCS Wants to Hear from Current Participants of the LEA Billing Program—Requests Information Via Survey

On June 5, 2019, DHCS sent an email to their LEA Billing mailing list reaching out to its stakeholders in order to account for LEAs that currently participate in the LEA Program, but do not participate in the School-Based Medi-Cal Administrative Activities (SMAA) Program. The stated goal of the survey is to provide technical assistance to LEA providers that may not be familiar with the Random...

Revision to PPL 19-004 Posted to DHCS Website

On June 5, 2019, DHCS posted a revision to their Policy and Procedure Letter (PPL) 19-004 Submitting Quarterly Random Moment Time Survey (RMTS) Percentage Results to the Department of Healthcare Services (DHCS)—originally posted on January 11, 2019—to the SMAA website. Below are the updated links: PPL 19-004R PPL 19-004R Attachment A The revision includes updated due dates to...

LEA Medi-Cal Billing Option Program SPA 15-021 General Overview Training—Northern California

The California Department of Health Care Services (DHCS) has announced that in preparation for the approval of the State Plan Amendment (SPA) 15-021 by the Center for Medicare and Medicaid Services (CMS), they will be conducting two General Overview SPA 15-021 trainings for stakeholders that participate in the LEA Billing program. The announcement on April 26, 2019, included information about...

LEA Medi-Cal Billing Option Program SPA 15-021 General Overview Training—Southern California

The California Department of Health Care Services (DHCS) has announced that in preparation for the approval of the State Plan Amendment (SPA) 15-021 by the Center for Medicare and Medicaid Services (CMS), they will be conducting two General Overview SPA 15-021 trainings for stakeholders that participate in the LEA Billing program. The announcement today included information about the Southern...

DHCS Confirms Notification Timeline for RMTS Moments with PPL 19-006

On February 13, 2019, DHCS released PPL 19-006—Notification and Response Timeline for Random Moment Time Survey (RMTS) Moments which confirms the 1/4 notification timelines are effective for the 2019/20 fiscal year. This means TSPs will be notified one attendance day in advance of their moment and then have four attendance days after to submit their response.

DHCS Posts Policy for Submitting Quarterly RMTS Percentage Results to SMAA Website

On January 11, 2019, DHCS announced via email to their SMAA mailing list that they have posted the Policy and Procedure Letter (PPL) 19-004 Submitting Quarterly Random Moment Time Survey (RMTS) Percentage Results to the Department of Health Care Services (DHCS) and PPL 19-004 Attachment A SMAA RMTS Percentage Results Template have been posted to the SMAA Website.

RMTS for LEA Billing—DHCS Hosts Combined Stakeholder Meeting on Oct. 4, 2018

On Thursday, Oct. 4, 2018, the Department of Healthcare Services (DHCS) held the first LEA Billing and School Medi-Cal Administrative Activities (SMAA) combined meeting. Paradigm attended the meeting by webinar and below are the highlights. There are 2 issues DHCS is still working out with CMS before formally submitting the final version of the SPA, which includes RMTS for LEA Billing, for...

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 the upcoming RMTS software system Request for Proposal (RFP). The LECs in attendance stated...