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2015 Policy and Procedure Letters

Back to Administrative Claiming Policy and Procedure Letters

Number & Date	Description	Attachment
November 19, 2015	Notification of the Fiscal Year (FY) 2015-2016 Second Quarter Time Survey Start Date for CMAA and/or Targeted Case Management (TCM) Budget Units with 100 or More Time Survey Participants
November 30, 2015	County Wide Average for Fiscal Year (FY) 2014-2015
September 23, 2015	Introduction of the Check Submission Form for the Department of Health Care Services (DHCS) TCM Program	Check Submission Form
PPL 15-026 September 11, 2015	Submission of State Fiscal Year 2014/2015 Quarter 1 and Quarter 2 Invoice Claims to the School-Based Medi-Cal Administrative Activities (SMAA) Program
PPL 15-025 August 7, 2015	Exception for Time Study Participants (TSPs) in a Small/Rural School District	Attachment A
PPL 15-024R June 28, 2016 PPL 15-024 December 1, 2015 (Superceded by 15-024R)	Implementation of Telehealth for Speech Therapy Services in the Local Educational Agency Medi-Cal Billing Option Program
PPL 15-023 December 1, 2015	Elimination of CPT Code 92506; and Implementation of Four New Replacement CPT Codes 92521-92524; and Implementation of New Audiology Code 92557
October 23, 2015 September 25, 2015	2015 TCM Cost Report Instructions and Template for Reporting Fiscal Year (FY) 2014-15 Costs
PPL 15-021 December 18, 2015	Affordable Care Act (ACA) “Newly Eligible” Aid Codes and Application to the TCM Program
PPL 15-020 August 24, 2015	Implementation of the Evergreen Provider Participation Agreement (PPA) in the LEA Medi-Cal Billing Option Program
PPL 15-019 July 24, 2015	Notification of Compliance Process for LEAs that Do Not Submit the Cost and Reimbursement Comparison Schedule by the Mandated Due Date
PPL 15-018 July 29, 2015 (Superceded by PPL 17-016)	Notification of Compliance Process for LEAs that Do Not Submit the Provider Participation Agreement (PPA) and the Annual Report (AR) by the Mandated Due Date
PPL 15-017 July 1, 2015	Notification of New Cost and Reimbursement Comparison Schedule (CRCS) Certification Statement for Participating LEAs Receiving No LEA Medi-Cal Billing Option Reimbursement During a Fiscal Year
PPL 15-016 July 1, 2015	Notification of Approved California State Plan Amendment Number 12-009 Targeted Case Management Services and the June 30, 2015, Sunset of the Current Reimbursement Methodology
PPL 15-015 July 2, 2015	Notification of the Fiscal Year (FY) 2015-2016 First Quarter Time Survey Start Date for CMAA and/or Targeted Case Management (TCM) Budget Units with 100 or More Time Survey Participants
April 7, 2017 December 30, 2015	Introduction of the Department of Health Care Services’ (DHCS) TCM Program’s Industry Average Interim Encounter Rate Methodology (State Plan Amendment (SPA) 15-031)
June 17, 2015 June 12, 2015	LGA Claiming Reimbursement for Fiscal Year (FY) 2013/2014 CMAA/TCM Participation Fee
June 10, 2015	School-Based Medi-Cal Administrative Activities (SMAA) Program Random Moment Time Study (RMTS) Time Study Participant (TSP) Funding Source Changes
May 5, 2015	Medi-Cal Administrative Activities Related to Individualized Educational Programs (IEPs)
September 25, 2015 May 13, 2015	Introduction of Enrollment/Re-enrollment Request, Withdrawal Request, and TCM Program Requirements Checklist
PPL 15-008 April 10, 2015	CMAA/TCM Time Survey Training Requirements for the CMAA and/or TCM Programs
PPL_15-007 June 24, 2015	Introduction of the TCM Downward Rate Adjustment Form for the Department of Health Care Services’ (DHCS) TCM Program	Downward Rate Adjustment Request Form
May 14, 2015	Fiscal Year (FY) 2015-16 Annual Participation Prerequisite (APP) for TCM
April 3, 2015	Notification of the Fiscal Year (FY) 2014-2015 Fourth Quarter Time Survey Start Date for CMAA and/or TCM Budget Units with 100 or More Time Survey Participants
March 20, 2015	Introduction/Establishment and Distribution of the Medi-Cal Eligibility Data System (MEDS) Account Request form for the Department of Health Care Services (DHCS) TCM Services
January 30, 2015	Targeted Case Management Fiscal Year (FY) 2013-2018 Provider Participation Agreement Amendment (PPA) for Claiming Federal Financial Participation for Targeted Case Management Services
PPL 15-002 January 30, 2015	Targeted Case Management and the Managed Care Plan Memorandum of Understanding Protocols to Assure Non-Duplication of Services and Annual Performance Monitoring Plan Requirements	MOU
February 05, 2015	Notification of the FY 2014-2015 Third Quarter Time Survey Start Date for CMAA and/or TCM Budget Units with 100 or more Time Survey Participants.