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2018 Policy and Procedure Letters

Back to Administrative Claiming Policy and Procedure Letters

Number

Date Description
Attachment
PPL 18-029 December 10, 2018 Elimination of CPT Code 96101 and Implementation of New Replacement Code 96130 in the Local Educational Agency Medi-Cal Billing Option Program

November 28, 2018 Record Retention Requirements
PPL 18-027 November 13, 2018 Specialized Medical Transportation in the Local Educational Agency Medi-Cal Billing Option Program

September 20, 2018 LGA’s Participating in the TCM Program List of Participating LGA’s

October 5, 2018 Notification of the Fiscal Year (FY) 2018-19 Second Quarter Time Survey Start Date for CMAA and/or TCM Budget Units with 100 or More Time Survey Participants

September 4, 2018 CMAA Invoice Timely Filing Requirements

November 20, 2018

Countywide Averages for Fiscal Year (FY) 2017-18


PPL 18-022 August 14, 2018 TCM Cost Report Due Date and Instructions for Reporting Fiscal Year (FY) 2017-18 Costs

July 13, 2018 Revised Comprehensive Claiming Unit Grid (CCUG) and Claiming Unit Functions Grid (CUFG)
July 13, 2018 Notification of the Fiscal Year (FY) 2018-19 First Quarter Time Survey Start Date for CMAA and/or TCM Budget Units with 100 or More Time Survey Participants
June 28, 2018 Non-medical Transportation (NMT) and Assembly Bill 2394
June 1, 2018 Notification of Ordering, Referring or Prescribing Practitioner Requirements in the Local Educational Agency Medi-Cal Billing Option Program

May 17, 2018 Revised Checklists for Preparing the CMAA Summary Invoice and Detail Invoice
PPL 18-016 May 15, 2018 Elimination of Current Procedural Terminology Codes 97001, 97002, 97003 and 97004; and Implementation of Four New Replacement CPT Codes 97163, 97164, 97167 and 97168

May 16, 2018 TCM Cost Report Budget Unit Clarification
PPL 18-014
May 9, 2018 Claiming LGA Direct Charge Staff Costs for SMAA

May 4, 2018 Revised CMAA Invoice Template CMAA Invoice Template rev. 5-3-18 (Excel)

June 8, 2018 Multiple Medi-Cal Discount Percentage Methodology
May 16,2018 Revised County-Based Medi-Cal Administrative Activities Program Operational Plan CMAA-TCM Operational Plan 2018
PPL 18-010 May 1, 2018 Submitting Quarterly SMAA Invoices to DHCS for Payment

May 3, 2018 Skilled Professional Medical Personnel (SPMP) Detailed Description Requirement for Claiming Units above Benchmark of Enhanced Activity
PPL 18-008 April 30, 2018 Unallowable Code 19 – MAA/TCM Coordination and Claims Administration (MCCA) Claiming on CMAA Invoice

April 19, 2018 Transition from the Automated Eligibility Verification System (AEVS) to Medi-Cal Eligibility Data System Lite (MEDSLITE)
PPL 18-006
April 18, 2018 Notification of the Fiscal Year (FY) 2017-18 Fourth Quarter Time Survey Start Date for CMAA and/or TCM Budget Units with 100 or More Time Survey Participants
PPL 18-005 April 12, 2018 Fiscal Year (FY) 2018-19 Annual Participation Prerequisite (APP) for TCM
PPL 18-004R.2 October 9, 2020 Payment Error Rate Measurement (PERM) Annual and Quarterly Requirements

April 19, 2018 Payment Error Rate Measurement (PERM) Items
PPL 18-003
March 8, 2018 LGA Claiming Reimbursement for Fiscal Year (FY) 2016-17 CMAA/TCM Participation Fee
PPL 18-002
January 29, 2018 Notification of the Fiscal Year (FY) 2017-18 Third Quarter Time Survey Start Date for CMAA and/or TCM Budget Units with 100 or More Time Survey Participants
 
 
January 9, 2018 Countywide Averages for Fiscal Year (FY) 2016-17