SCHOOL-BASED MEDICAL BILLING: A TRANSFORMATIVE SHIFT IN CALIFORNIA
In recent years, California has undergone significant changes in school-based medical billing, opening up new pathways for schools to secure funding for health services delivered in educational settings. The state is at the forefront of implementing diverse billing programs, including the Medi-Cal LEA Billing Option Program (LEA BOP), the Children and Youth Behavioral Health Fee […]
Schools could be getting millions more from Medicaid. Why aren’t they?
Seven-year-old Winnie Hoyt sits nestled in her mother’s lap in a therapy room at Oregon Health and Science University in Portland. She’s dressed in a lavender romper that sets off her soft brown eyes and smacks her lips occasionally while her mom and her speech-language pathologist fiddle with settings on an iPad-like device hovering in […]
Stop double recording your special education services
With the forthcoming CDE Implementation requirements, LEAs are already beginning to have staff document their IEP related service minutes. In some cases, we are hearing that providers are having to double their documentation efforts by entering services into their billing software and again in their special education management system. We are here to tell you […]
Billing for Nursing Services in the School Setting (CDE Implementation)
With the forthcoming CDE Implementation requirements for California LEAs, we want to discuss billing for nursing services. Practi-Cal has the only documentation system that includes full management, recording and reporting to meet CDE documentation requirements. One area that we have already noticed outliers, is the over recording of IEP nursing services to CALPADS code 435. […]
Unwinding the Public Health Emergency (PHE) for LEAs
On October 13, the US Government extended the current Public Health Emergency (PHE) another 90 days. This pushes the current federal expiration date to January 2023. During the past few State Workgroup meetings, DHCS shared information about unwinding the PHE and what that means for Medi-Cal beneficiaries. There are currently two main effects ending the […]
California Eyes Post-COVID-19 Telehealth Policy for Medicaid Patients
California’s Department of Health Care Services has released a 14-page document outlining post-pandemic telehealth coverage for the Medi-Cal program, including payment parity and expanded coverage for FQHCs and RHCs. View the document here: https://mhealthintelligence.com/news/california-eyes-post-covid-19-telehealth-policy-for-medicaid-patients
Parents Struggle with a New Dilemma: Is it Safe to Send Kids Back to School?
Read the article on the Los Angeles Time’s site.