CMS Has Approved California State Plan Amendment 15-021

On April 28, 2020, CMS released an approval document written to DHCS confirming their approval of State Plan Amendment (SPA) 15-021 with an effective date of July 15, 2020. DHCS has yet to issue a formal announcement to LEAs, however the assumption is that implementation is still on track for July 1, 2020. A copy of the SPA package and approval letter can be found here: CMS Approval…

DHCS Confirms State Plan Amendment (SPA) 15-021 is Officially ‘On the Clock’

On Tuesday, February 11, DHCS sent an email announcing they had formally submitted the State Plan Amendment (SPA)15-021 to Centers for Medicare and Medicaid Services (CMS), who has 90 days to review the package. On Wednesday, February 12, during a DHCS Workgroup meeting, DHCS confirmed that CMS accepted the submission and will adhere to the expected decision date of May 11, 2020. DHCS advised…

School Medicaid Programs Make a Shift @ DHCS

On September 3, 2019, California DHCS sent this message to its school Medicaid stakeholders: "In an effort to align the work that we do with other work being done within the Department of Health Care Services, our Branch, “Medi-Cal Claims and Services Branch” has moved from the Safety Net Financing Division to the newly developed division called Local Governmental Financing Division (LGFD).…

DHCS Releases Report with Final Results of SMAA Deferral & Backcasting Process

On June 28, 2019, DHCS sent out their final report on the results of the SMAA program deferral and backcasting process; results long-awaited by impacted California school districts. The distributed SMAA Report on Results of Backcasting of Deferred Claims includes an executive summary of the final results of this multi-year process, a history of the deferral, and a detailed table showing the…

DHCS Extends Deadline for FY 2017/18 Q3 SMAA Invoice Submissions

On Tuesday, June 25, 2019, DHCS sent an email to their SMAA mailing list issuing a 30-day extension for the FY 2017/18 Q3 invoices submissions for the SMAA program. The new submission due date is July 31, 2019.   Click here to subscribe to DHCS SMAA mailing list.

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 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…

SMAA Workgroup Publishes May 2019 Meeting Notes

The SMAA Workgroup posted the meeting notes from their May 1, 2019, SMAA Workgroup Meeting; highlights from that meeting include: Draft PPL 19-XXX, RMTS Sample Period—Continued the discussion from their April 17 meeting specifically regarding adjusting quarter four to accommodate the four day response period, see below: DHCS confirmed that reducing the quarter 4 sample period by 4 student…

SMAA Workgroup Publishes April 2019 Meeting Notes

The SMAA Workgroup posted the meeting notes from their April 17, 2019, SMAA Workgroup Meeting; highlights from that meeting include: Draft PPL 19-XXX, RMTS Sample Period—Addressing submitted stakeholder comments and questions Moments assigned for the last minute of a shift; currently, the system may create a moment that begins the minute a shift ends (e.g., shifts ending at 5:00 pm may…