​LEA Program State Plans

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The Medicaid State Plan is based on requirements set forth it Title XIX of the Social Security Act and is a comprehensive written document created by the State of California that describes the nature and scope of its Medicaid program. It services as a contractual agreement between the State of California and the federal CMS and must be administered in conformity with specific requirements of Title XIX of the Social Security Act and regulations outlined in Chapter IV of the Code of Federal Regulations. The State Plan contains all information necessary for CMS to determine if the State can receive Federal Financial Participation for its Medicaid program. There are several areas in the California State Plan that outline the requirements for covered services and the reimbursement methodology for the LEA Program:

• Attachment 3.1-A page 9; Limitations on Attachment 3.1-A pages 9t and 26-29: Amount, Duration, and Scope of Medical and Remedial Care and Services- Categorically Needy, pages 9-9t and 26-29m
• Attachment 3.1-B page 9; Limitations on Attachment 3.1-B pages 9p and 25-28m: Amount, Duration, and Scope of Services Provided Medically Needy Groups, pages 9-9p and 25-28m
• Supplement 8 to Attachment 4.19-B: Payment for LEA Services (including TCM), pages 1-12
• Supplement 1c to Attachment 3.1-A: TCM Services- Children with an IEP and IFSP, pages 1-5
  

Updates and information regarding LEA Program State Plan Amendments:

• SPA 16-001 Targeted Case Management Services​
• SPA 15-021 LEA Expansion Services​​