Skip to Main Content

​​​​​​​​​​​​​​​​​​2021 Policy and Procedure Letters

Back to ​Administrative Claiming Policy and Procedure Letters

​Number

​Date​Description​Attachment
PPL 21-012R2​​
​January 11, 2023
​Unsatisfactory Immigration Status (UIS) Beneficiaries
​​PPL 22-009R​​
​June 21, 2022
​Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) Reimbursement for Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Screening Services
​​PPL 22-008R

​May 13, 2022
​Notification of Expansion of Covered Services Provided by Associate​ Marriage and Family Therapists (AMFTs) and Registered Associate Clinical Social Workers (ACSWs)
​PPL 21-044R

​February 14, 2022
​Mandating the MOVEit eTransfer System
​Attachment A
PPL 21-044

​December 29, 2021
​Mandating the MOVEit eTransfer System​
PPL 21-043
​December 15, 2021
​State Fiscal Year (SFY) 2022-23 Annual Participation Prerequisite (APP) for the TCM Program
PPL 21-042
​December 10, 2021
​Notification of State Fiscal Years 2015-16 through 2019-20 Cost Settlement Requirements for the Local Educational Agency Medi-Cal Billing Option Program.
PPL 21-041
​December 8, 2021
​Countywide Averages (CWAs) for the Third Quarter (Q3) of State Fiscal Year (SFY) 2020-21
​California Department of Health Care Services Medi-Cal Countywide Averages for State Fiscal Year (SFY) 2020-21 Quarter 3
​PPL 21-040
​December 10, 2021
​Notification of Reimbursement for COVID-19 Vaccinations in the Local Educational Agency Medi-Cal Billing Option Program (LEA BOP)
​​PPL 21-035​​
​November 16, 2021
​Frequently Asked Questions (FAQs) Related to Public Health Emergency (PHE) and COVID-19 Activities. 
​PPL 21-034R​​
February 9, 2022
​Local Education Agency Medi-Cal Billing Option Program (LEA BOP) notification of opportunities for COVID-19 testing in schools and the impact on local educational agency LEA BOP reimbursement. 

​PPL 21-033
​October 28, 2021
​Electronic Invoice Submission and the use of a Secure File Transfer Protocol (SFTP)
​​PPL 21-032​​
​October 14, 20201
​​Termination of Data Use Agreements (DUAs) with LEAs under LGAs
for the School-Based Medi-Cal Administrative Activities (SMAA)
Program

PPL 21-031
​October 14. 2021
​Submitting Random Moment Time Survey (RMTS) Vendor Fee Worksheets (VFWs) to the Department of Healthcare Services (DHCS) for SMAA
​Attachment A VFW Instructions
Attachment B RMTS VFW 
Attachment C Late VFW Request
​​​PPL 21-030​​
​October 13​, 2021​
​​Local Education Agency Medi-Cal Billing Option Program (LEA BOP) notification of policy related to Time Survey Participants (TSPs) that are identified as being in the incorrect participant pool for the Random Moment Time Survey (RMTS).​
​PPL 21-029​

​October 13​, 2021​
​​Local Education Agency Medi-Cal Billing Option Program (LEA BOP) notification of contractor placement on the Time Survey Par​tic​i​pant (TSP) lists for the Random Moment Time Survey (RMTS).
​PPL 21-028​​​​

​October 13​, 2021​​
​​Local Education Agency Medi-Cal Billing Option Program (LEA BOP) notification of inclusion of Long-Term Direct Service Practitioner Substitutes and Administrative Service Personnel Substitutes in the Random Moment Time Survey (RMTS) Process.​
​PPL 21-027
​October 12th, 2021
​Ineligible Encounters for Federal Financial Participation (FFP): Information, Monthly Reports, TCM System, and TCM Cost Reports
PPL ​21-026
​October 7, 2021
​Additional Response Options for the Random Moment Time Survey (RMTS) Pre-Sample Question 1​
​PPL 21-025

​October 4, 2021
​Local Education Agency Medi-Cal Billing Option Program (LEA BOP) notification of the compliance process for LEA Providers that do not submit the Cost and Reimbursement Comparison Schedule by the mandated due date.​

​PPL 21-024

​October 4, 2021
​Local Education Agency Medi-Cal Billing Option Program (LEA BOP) notification of proposed regulation update related to the authorization of speech pathology and audiological services, occupational therapy services, and physical therapy services.​
​PPL 21-023

September 30​, 2021
​​Notification of Changes to the Quarter One Time Survey Participant (TSP) List for the SMAA Program​
​PPL 21-022

​December 28, 2021
​LGAs Claiming Reimbursement for State Fiscal Year (SFY) 2019-20 CMAA/TCM Participation Fee​
​PPL 21-021
​August 24, 2021
​Countywide Averages (CWAs) for the Second Quarter (Q2) of State Fiscal Year (SFY) 2020-21
​California Department of Health Care Services Medi-Cal Countywide Averages for State Fiscal Year (SFY) 2020-21 Quarter 2​
​PPL 21-019
​August 17, 2021
​Local Educational Agency Medi-Cal Billing Option Program billing guidance to LEA Providers participating in the LEA BOP regarding covered direct medical services provided to Medi-Cal enrolled students via telehealth.

PPL 21-018

​August 16, 2021
​Local Educational Agency Medi-Cal Billing Option Program policy related to annual or triennial individual education plans (IEP) and individual family service plans
​PPL 21-017R​
​December 10, 2021
​Alternative Format Request Requirements
PPL 21-017

​August 10, 2021​Alternate Format Request Requirements
PPL 21-016​​
​July 20, 2021
Local Educational Agency (LEA)​​ Medi-Cal Billing Option Program Direct Medical Services Provided to Medi-Cal Enrolled Students by LEA-Contracted Health Service Practitioners. ​​
​​PPL 21-015R​​
December 1, 2021
​​Unsatisfactory Immigration Status Beneficiaries in the Local Educational Agency Medi-Cal Billing Option Program ​
PPL 21-014

​June 15, 2021​TCM Cost Report Due Date and Instructions for Reporting State Fiscal Year (SFY) 2020-21 Costs
PPL 21-013

June 8, 2021

Countywide Averages (CWAs) for the First Quarter (Q1) of State Fiscal Year (SFY) 2020-21

California DHCS Medi-Cal Countywide Averages for State Fiscal Year (SFY) 2020-21 Quarter 1
PPL 21-012RSeptember 7, 2021 Unsatisfactory Immigration Status (UIS) Beneficiaries
PPL 21-012June 3, 2021​Unsatisfactory Immigration Status (UIS) Beneficiaries
PPL 21-011May 19, 2021 Electronic Invoice Submission and the use of a Secure File Transfer Website (SFT Website)
PPL 21-010​May 19, 2021CMAA Claiming Plan Submission Requirements ​The latest CCUG will be available upon request from the CMAA Unit
PPL 21-009​May 14, 2021Notification of the State Fiscal Year (SFY) 2020-2021 Fourth Quarter (Q4) Time Survey Start Date for CMAA and/or TCM Budget Units with 100 or More Time Survey Participants
PPL 21-008​April 27, 2021 TMAA Claiming Plan Submission Requirements
​PPL 21-007​March 18, 2021

​Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) Interpretation of "Complete 15-Minute Period" Following an Initial Service Increment.

​PPL 21-006​January 27, 2021​Countywide Averages (CWAs) for the Fourth Quarter (Q4) of State Fiscal Year (SFY) 2019-20​Please contact the CMAA unit to obtain a copy of the CWA worksheet
​PPL 21-005​January 25, 2021​Electronic Submission of TCM Invoices
PPL 21-003January 22, 2021 ​Personal Protective Equipment (PPE) Costs as Reported in the TCM Cost Report
PPL 21-001​January 15, 2021​Claiming Reimbursement for Participation Fees

 

Last modified date: 1/27/2023 10:17 AM