Parent Consent Proposed Rule
Office of Special Education and Rehabilitative Services, Department of Education. Secretary proposes to remove the requirement for public agencies to obtain parental consent prior to accessing for the first time a child’s public benefits or insurance ( e.g., Medicaid, Children’s Health Insurance Program (CHIP)) to provide or pay for required IDEA Part B services. We […]
CMS Releases New School Based Medicaid Claiming Guide
The Center for Medicaid/Medicare Services has released an updated Comprehensive Guide for School-Based Billing Programs. It has been over twenty years since the last update, and states now have new flexibility in improving school-based services and reimbursement. https://www.cms.gov/newsroom/fact-sheets/delivering-service-school-based-settings-comprehensive-guide-medicaid-services-and-administrative
CMS Approves Illinois Proposal to Expand Access to Care for Kids in Schools
https://www.cms.gov/newsroom/press-releases/cms-approves-illinois-proposal-expand-access-care-kids-schools Apr 18, 2023 Today, the Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), approved a state plan amendment (SPA) that will provide Illinois more Medicaid funding for eligible children receiving Medicaid-covered health care services in schools. This approval advances the expansion of school-based health services, a […]
New Counseling Opportunities
Beginning January 1st, 2023, LEA’s are able to bill for individual and group counseling provided by Credentialed School Counselors. California Education Code 49600 has been updated to include provisions for direct services, allowing the role of school counselors in mental and behavioral health. Specifically, it clarifies that school counselors are mental health professionals, A recent […]
Understanding CRCS Results
2022 has been a busy year with CRCS (Cost Reimbursement and Comparison Schedule) submissions. Not only did LEA’s submit their first CRCS Report, post SPA 15-021 adoption, but also re-submitting prior CRCS reports, using new cost and time methodologies. Before we begin, here is a short refresher on what the CRCS process is. CRCS is […]
Documentation protects your LEA
We have seen it far too often. News articles about LEA’s having to settle with parents, when promised services are not delivered in accordance with the student special education plan. We all know that the IEP is a legal document and services, support and resources must be provided in accordance with the plan. With current […]
Changing Landscape for School-Based Healthcare
The future of school-based health care is changing. LEA’s should start today in preparing for collaborative health care for students. Practi-Cal has been actively monitoring existing and proposed legislation to provide on-time solutions for our clients. Click the link below to read the story from Foley & Lardner LLP. https://www.foley.com/en/insights/publications/2022/10/calif-transform-behavioral-health-delivery-system
Using the new CDE Implementation requirements to improve Medi-Cal Billing
The forthcoming CDE implementation requirements provide an opportunity to improve Medi-Cal reimbursement for California LEA’s. The new CDE policy, requires LEA’s to document the minutes providing promised services to students in special education. While promised services may be delivered, they are not necessarily being documented. Practi-Cal tracks promised service delivery using algorithms that analyze special […]
CDE Implementation for Contracted Services
By now, you should be aware of the upcoming CDE implementation requirements. Today, we want to discuss CDE Implementation compliance, when services are provided by contracted agencies, schools, or individuals. The new CDE requirement that all promised IEP minutes be recorded and reported, will also extend to those contracted service providers. The challenge comes, when […]