2020 Policy and Procedure Letter
Back to Administrative Claiming Policy and Procedure Letters
| Number | Date | Description | Attachment |
| PPL 20-055 | December 29, 2020 | Duplicate Encounters Under Multiple Target Populations | |
| PPL 20-054 | December 17, 2020 | LGA Coordinator Responsibilities |
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| PPL 20-053 | December 15, 2020 |
State Fiscal Year (SFY) 2021-22 Annual Participation Prerequisite (APP) for TCM | |
| PPL 20-052 | November 10, 2020 | Claiming Targeted Case Management (TCM) Costs for the School-Based Medi-Cal Programs | |
| PPL 20-051 | November 5, 2020 | Notification for Stakeholders Participating in the Local Educational Agency Billing Option Program that the Department Encourages the Coordination of Mental Health Services With Their Respective Special Education Local Plan (SELPA), County Office of Education (COE), County Mental Health Plan (MHP) and Managed Care Organization (MCO). |
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| PPL 20-050 | November 4, 2020 | CMAA/TCM Perpetual Time Survey Frequency Requirement | |
| PPL 20-049 | October 30, 2020 | Countywide Averages (CWAs) for the Third Quarter (Q3) of State Fiscal Year (SFY) 2019-20 | Please contact the CMAA unit to obtain a copy of the CWA worksheet. |
| PPL 20-048 | November 3, 2020 | Revised Skilled Professional Medical Personnel (SPMP) Questionnaire | DHCS 7206 SPMP Questionnaire |
| PPL 20-047 | October 28, 2020 | Notification of the State Fiscal Year (SFY) 2020-21 Second Quarter (Q2) Time Survey Start Date for CMAA and/or TCM Budget Units with 100 or More Time Survey Participants | |
| PPL 20-046 | October 28, 2020 | Notification of New Requirements for the Quarter One Time Survey Participant (TSP) List For The Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) Under The Random Moment Time Survey (RMTS) Process | |
| PPL 20-045 | October 26, 2020 | Notification of Approved California State Plan Amendment (SPA) 16-001 Regarding Targeted Case Management (TCM) Services for the Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) | |
| PPL 20-044 | October 23, 2020 | Revised Local Public Entity (LPE) Certified Public Expenditure (CPE) Certification for Medi-Cal TCM | Non-LGA LPE Certification Statement for TCM |
| PPL 20-043 | October 12, 2020 | Notification of Random Moment Time Survey (RMTS) 85% Compliance Policy for School Based Medi-Cal Programs | RMTS Compliance Threshold Attachment |
| PPL 20-041 | September 2, 2020 | Countywide Averages (CWAs) for the Second Quarter (Q2) of State Fiscal Year (SFY) 2019-2020 | Please contact the CMAA unit to obtain a copy of the CWA worksheet. |
| PPL 20-040 | August 26, 2020 |
Notification of Cost Settlement Process for Specialized Medical Transportation (SMT) in the Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) | |
| PPL 20-039R |
November 30, 2021 |
Notification of New Services and New Practitioners in the Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) |
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| PPL 20-039 | August 12, 2020 | Notification of New Services and New Practitioners in the Local Educational Agency Medi-Cal Billing Option Program | Attachments A&B |
| PPL 20-038 | August 11, 2020 | Notification of Temporary Increase of 6.2 Federal Medicaid Assistance Percentage (FMAP) During The COVID-19 Public Health Emergency | |
| PPL 20-037 | August 10, 2020 | This Policy and Procedure Letter (PPL) notifies LEAs interested in participating in the LEA BOP that the new quarterly enrollment process will begin on January 1, 2021. | LEA Enrollment and Timeframe |
| PPL 20-036 | August 6, 2020 | Resubmission of updated Medi-Cal Managed Care Health Plan(s) (MCP) Memorandum of Understanding (MOU) | |
| PPL 20-035R | July 28, 2020 | TCM Cost Report Due Date and Instructions for Reporting State Fiscal Year (SFY) 2019-20 Costs | |
| PPL 20-035 | July 28, 2020 | TCM Cost Report Due Date and Instructions for Reporting State Fiscal Year (SFY) 2019-20 Costs | |
| PPL 20-034 | July 28,2020 | Alternative RTMS Methodology for School-Based Medi-Cal Administrative Activity Claiming Due to State of Emergency | |
| PPL 20-033 | July 24, 2020 | Notification of Reinstatement of Targeted Case Management Claiming for the Local Educational Agency Medi-Cal Billing Option Program | TCM Form |
| PPL 20-032 | July 28, 2020 | Notification of Temporary Increase of 6.2 Percent Federal Medicaid Assistance Percentage (FMAP) during the Public Health Emergency | |
| PPL 20-031 | July 24, 2020 | Notification of New Requirements for Time Survey Participation Equivalency Requests for the Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) Under the Random Moment Time Survey (RMTS) Process | Equivalency Request Form |
| PPL 20-029 | July 8, 2020 | Notification of the Expansion of Covered Services Population Under the Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) | |
| PPL 20-028 | July 22, 2020 | Notification of the Termination of LEAs that failed to submit a Provider Participation Agreement (PPA) For State Fiscal Year (SFY) 2020-21 | |
| PPL 20-027 | July 2, 2020 | Implementation of the New Regional Invoice Summary Process | |
| PPL 20-026R | November 30, 2020 | Department of Health Care Services’ (DHCS) Directive for National Provider Identifier (NPI) Verification | |
| PPL 20-026 | July 1, 2020 | Department of Health Care Services’ (DHCS) Directive for National Provider Identifier (NPI) Verification | |
| PPL 20-025 | June 30, 2020 | One-time Extension to the Time Survey Training Requirement due to the State of Emergency | |
| PPL 20-023 | June 23, 2020 | Submitting Quarterly Random Moment Time Survey (RMTS) Percentage Results to the Department of Health Care Services (DHCS) | School-Based Medi-Cal Programs: Random Moment Time Survey Percentages |
| PPL 20-022R | October 30, 2020 | Notification of Random Moment Time Survey Requirement (RMTS) for the Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) | Model 2 Certification |
| PPL 20-021R | June 19, 2020 | Countywide Averages (CWAs) for the First Quarter (Q1) of State Fiscal Year (SFY) 2019-20 | |
| PPL 20-019 | June 9, 2020 | Guidance Regarding Electronic Submission of Invoices during the COVID-19 State of Emergency | |
| PPL 20-018 | June 3, 2020 | Beneficiary Notification when LGAs Discontinue Participation in a Target Population | Notice Log Template (Excel) Uniform Notification Template (Word) |
| PPL 20-017 | May 20, 2020 | Implementation of the New Regional Invoice Summary Process | |
| PPL 20-015 | May 14, 2020 | Guidance Regarding Electronic Submission of Invoices during the COVID-19 State of Emergency | |
| PPL 20-014R |
May 11, 2020 | Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) Telehealth Policy Relative to the 2019 Novel Coronavirus (COVID-19) |
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| PPL 20-013 | May 4, 2020 | Revised CMAA Invoice Template | |
| PPL 20-012R | May 5, 2020 | Notification of Approved California State Plan Amendment (SPA) 15-021 Regarding LEA BOP Services | |
| PPL 20-011 | April 27, 2020 | Notification of the State Fiscal Year (SFY) 2019-20 Fourth Quarter (Q4) Time Survey Start Date for CMAA and/or TCM Budget Units with 100 or More Time Survey Participants |
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PPL 20-010 |
March 10, 2020 | Countywide Average (CWA) for the Fourth Quarter (Q4) of State Fiscal Year (SFY) 2018-19 | |
| PPL 20-009 (Revised) | March 24, 2020 | Department of Health Care Services’ (DHCS’) Directive for TCM Encounters Performed during State of Emergency |
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| PPL 20-008 | March 9, 2020 | Time Survey Participant (TSP) List Certification Statement for the Random Moment Time Survey (RMTS) | |
| PPL 20-006 | January 28, 2020 | Notification of the State Fiscal Year (SFY) 2019-20 Third Quarter (Q3) Time Survey Start Date for CMAA and/or TCM Budget Units with 100 or More Time Survey Participants | |
| PPL 20-005 | January 22, 2020 | California Rural Indian Health Board (CRIHB) and Managed Care Beneficiary Claims | |
| PPL 20-004R | January 10, 2020 | Notification of State Plan Amendment (SPA) 15-021 Requirements in Fiscal Year (FY) 2019-20 for Local Educational Agency Providers | |
| PPL 20-003 | January 6, 2020 | Notification of the Compliance Process for Local Educational Agency Providers that Did Not Submit the Cost and Reimbursement Comparison Schedule for Prior Reporting Years | |
| PPL 20-002 | March 9, 2020 | Application of MOVEit eTransfer System (MOVEit) in the TMAA Program | |
| PPL 20-001R |
October 7, 2022 |
Application of MOVEit eTransfer System (MOVEit) and Actual Client
Count (ACC) Calculation in the CMAA Program |
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| PPL 20-001 | March 13, 2020 | Application of MOVEit eTransfer System (MOVEit) in the CMAA Program |