LEA Provider Notices

• State Plan Amendment (SPA) 03-024 Approval - CMS SPA Approval Letter (PDF)
  The Centers for Medicare and Medicaid Services (CMS) has approved SPA 03-024, which adds IEP/IFSP assessments, clarifies provider qualifications for assessment and treatment services provided by LEAs, and describes the reimbursement methodology for these services.
•  LEA Data Match Record Layout (PDF)
  As of June 1, 2005, the LEA Data Match record layout will include the 14-digit BIC-ID number.  EDS will require this number on incoming claims beginning late spring.   Note: The Data Match Record Layout was updated on 5/20/2005 to correct the label of the first field.
• National Provider Identifier (NPI) Presentation (PDF)
  The Health Insurance Portability and Accountability Act (HIPAA) requires the adoption of a standard unique identifier for health care providers, the National Provider Identifier (NPI). The NPI is 10 digits in length and will replace the current LEA Medi-Cal provider numbers. To comply with this requirement, CMS developed the National Plan and Provider Enumeration System (NPPES) to assign these unique identifiers.