Discover Paradigm's Rich History through our News & Policy Archive
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California Assembly Bill AB 483 Aims to Improve Medi-Cal Billing Option for Local Educational Agencies
In a significant effort to improve the efficiency of California's Medi-Cal program and ensure fair reimbursement for eligible services provided by local educational agencies (LEAs), Assembly Bill AB 483 has been introduced in the state legislature.
Empowering Schools with a Long-Awaited Guide: Delivering Care to Children in Medicaid and CHIP
The Centers for Medicare & Medicaid Services (CMS) has recently unveiled its long-awaited, comprehensive guide, titled "Delivering Service in School-Based Settings: A Comprehensive Guide to Medicaid Services and Administrative Claiming," which marks a significant milestone in the implementation of the Bipartisan Safer Communities Act (BSCA).
Breaking News: Proposed Changes to Parent Consent Requirements in IDEA CFR
The Office of Special Education and Rehabilitative Services, Department of Education has issued a notice of proposed rulemaking, marking a significant step in improving access to special education services for children with disabilities.
May Revision to California 2023/24 Proposed Budget
On May 12, 2023, Governor Gavin Newsom released the highly anticipated May Revision to California's proposed budget for 2023-24. This revised budget showcases notable changes and investments that aim to address critical issues faced by the state. Of particular significance are the updates related to the Behavioral Health Continuum. These updates reflect California's commitment to improving mental health services and infrastructure, ensuring that individuals, especially children and youth, have access to the support they need to thrive.
DHCS Expands Scope of Data Use Agreement for California Schools
California schools looking to improve their outreach efforts for Medi-Cal beneficiaries may want to consider signing the updated Data Use Agreement (DUA) recently released by the Department of Health Care Services (DHCS). The updated DUA allows schools to use eligibility data to inform their outreach efforts, and can help schools better target their outreach efforts and connect with eligible beneficiaries. However, there are a few nuances to consider before signing the updated DUA. In this article, we explore the key considerations for schools and provide guidance on completing the updated DUA.
DHCS Provides Update on Behavioral Health Virtual Services Platform
The Department of Health Care Services (DHCS) announced it will launch the Behavioral Health Virtual Services Platform, a new technology-enabled services solution for all children, youth, and families in California, in January 2024. The platform is part of Governor Newsom’s Master Plan for Kids’ Mental Health and the Children and Youth Behavioral Health Initiative (CYBHI), a $4.7 billion investment in youth behavioral health.
DHCS Introduces New Requirements for Alternative Format Plans for California Public Schools
On February 1, 2023, the California Department of Health Care Services (DHCS) released PPL 23-004, notifying LEAs and regional agencies participating in the LEA Billing Option and/or Medi-Cal Administrative Activities (MAA) programs that they must establish an Alternative Format Plan by August 1, 2023.
PPL 21-040: Notification of Reimbursement for COVID-19 Vaccinations in the LEA Billing Program
Last Wednesday, December 15, DHCS released an email regarding Policy and Procedure Letter 21-040 titled “Notification of Reimbursement for COVID-19 Vaccinations in the LEA Billing …
PPL 21-034: Opportunities for COVID-19 testing in schools and the impact on Local Educational Agency Medi-Cal Billing Option Program (LEA BOP)
On Monday, November 22, DHCS released an email regarding Policy and Procedure Letter 21-034. This PPL notifies LEAs participating in the LEA Billing program of opportunities related to…
Policy & Procedure Letter Round Up
Over the last few weeks, DHCS released several Policy & Procedure Letters (PPLs), and more are expected to be published soon. Paradigm has summarized the latest PPLs below and emphasized…
PPL 21-015: Unsatisfactory Immigration Status Beneficiaries in the LEA Billing Program
On July 16, DHCS released an email regarding Policy and Procedure Letter (PPL) 21-015 titled, “Unsatisfactory Immigration Status Beneficiaries in the LEA Medi-Cal Billing Option Program…
Enacted 2021/22 State Budget
On July 9, the 2021/22 California Budget was passed and signed. In it, the proposed budget request submitted by DHCS back in April, specific to the LEA program expansion was include…
Revised 2021/22 State Budget Proposal Summary
As anticipated, this month, Governor Newsom released his proposed May Revised Budget Summary for FY 2021/22. In this revision, the initiatives specific to the Medi-Cal program, such as…
Renewal of Determination That a Public Health Emergency Exists
On April 15, 2021, Xavier Becerra, the Secretary of U.S. Health and Human Services, renewed that a public health emergency exists and has continued to exist since January 27, 2020. This renewal is…
California Proposed 2021/22 Budget Summary
On Friday, January 15, DHCS released PPL 20-001. The purpose of this Policy and Procedure Letter is to provide guidance on the reimbursement requirements for participation fees related to…