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2021 Policy and Procedure Letters

Back to Administrative Claiming Policy and Procedure Letters

Number

DateDescriptionAttachment
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 Participant (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, 2021Alternate 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, 2021TCM 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, 2021Unsatisfactory Immigration Status (UIS) Beneficiaries
PPL 21-011May 19, 2021 Electronic Invoice Submission and the use of a Secure File Transfer Website (SFT Website)
PPL 21-010May 19, 2021CMAA Claiming Plan Submission Requirements The latest CCUG will be available upon request from the CMAA Unit
PPL 21-009May 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 21-008April 27, 2021 TMAA Claiming Plan Submission Requirements
PPL 21-007March 18, 2021

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

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

 

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