PPL 20-007 March 18, 2021 | Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) Interpretation of "Complete 15-Minute Period" Following an Initial Service Increment. | |
PPL 20-051 November 5, 2020 | Notification for Stakholders Partcipating in the Local Educational Agency Billing Option Program that the Department Encourages the Coordination of Mental Health Services With Thier Respective Special Education Local Plan (SELPA), County Office of Education (COE), County Mental Health Plan (MHP) and Managed Care Organization (MCO). | |
PPL 20-046 November 2 , 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 20-043 October 12, 2020 | Notification of Random Moment Time Survey (RMTS) 85% Compliance Policy for School Based Medi-Cal Programs | RMTS Compliance Threshold Attachment |
PPL 20-040 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 20-039 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 20-033 August 12, 2020 | Notification of Reinstatement of Targeted Case Management Claiming for the Local Educational Agency Medi-Cal Billing Option Program |
TCM Form |
PPL 20-031 July 24, 2020 | Notification of New Requirements for Time Survey Partcipation Equivalency Requests for the Local Educational Agency Medi-Cal Billing Option Progam (LEA BOP) Under the Random Moment Time Survey (RMTS) Process |
Equivalency Request Form |
PPL 20-029 July 8, 2020 | Notification of 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 Partcipation Agreement (PPA) For State Fiscal Year (SFY) 2020-21 | |
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 20-014R September 15, 2020 | Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) Telehealth Policy Relative to the 2019 Novel Coronavirus (COVID-19) | |
PPL 20-012R September 8, 2020 | Notification of Approved California State Plan Amendment (SPA) 15-021 Regarding LEA BOP Services | |
PPL 20-004R August 4, 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 19-033
December 19, 2019 | LEA Psychology/ Counseling CPT Replaced With New CPT Codes | |
PPL 19-019 September 18, 2019 | Amendment to the annual submission requirements for the Cost and Reimbursement Comparison Schedule (CRCS). | |
PPL 19-015 June 28, 2019 | Authorizations for direct medical treatment services may be signed by Physician Assistants (PAs) or Nurse Practitioners (NPs), as appropriate, in place of an authorization signed by a physician. | |
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 | |
PPL 18-027 November 13, 2018 | Specialized Medical Transportation in the Local Educational Agency Medi-Cal Billing Option Program | |
PPL 18-018R April 25, 2018 | Notification of Ordering, Referring or Prescribing Practitioner Requirements in the Local Educational Agency Medi-Cal Billing Option Program | |
PPL 18-016 May 16, 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
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PPL 17-016
November 13, 2017
(Replaces PPL 15-018) | Notification of Compliance Process for LEAs that Do Not Submit the Provider Participation Agreement (PPA) by the Mandated Due Date | |
PPL 17-002
February 16, 2017 |
Rescinding Policy and Procedure Letters (PPL) 13-004, 13-014, and 16-019 Regarding Subrecipient Monitoring for CMAA, TCM, LEA BOP, and SMAA Contracts | |
PPL 16-012
July 1, 2016 | Notification of Third-Party Liability Recoupment Requirements | |
PPL 16-010
June 10, 2016 | Implementation of Electronic Signature Policy | |
(superseded by 15-024R) | Implementation of Telehealth for Speech Therapy Services in the Local Educational Agency Medi-Cal Billing Option Program | |
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 | |
15-020
August 24, 2015 | Implementation of the Evergreen Provider Participation Agreement (PPA) in the LEA Medi-Cal Billing Option Program | |
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 | |
15-018
July 29, 2015 | Notification of Compliance Process for LEAs that Do Not Submit the Provider Participation Agreement and the Annual Report by the Mandated Due Date | |
July 1, 2015 | Notification of new Cost and Reimbursement Comparison Schedule Certification Statement for Participating LEAs Receiving No LEA Medi-Cal Billing Option Reimbursement During a Fiscal Year
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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 Current Reimbursement Methodology | |
September 13, 2013 | LEA Medi-Cal Billing Option Program - Freedom of Choice of Qualified Medicaid Providers including TCM Providers | |
July 1, 2013 | LEA Medi-Cal Billing Option Program - Contracted Practitioners | |
June 6, 2013 | Department of Health Care Services Authority to Establish, Provide and Disseminate Policy Related to the LEA Medi-Cal Billing Option Program | |
January 8, 2013 | LEA Medi-Cal Billing Option Program - Revision to Medical Transportation Outlined in Assembly Bill 2608 | |
June 5, 2012 | Prohibition on Claiming Reimbursement for Contingency Fees
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March 30, 2012 | LEA Medi-Cal Billing Option Program - Changes to Standardized Account Code Structure Resource Code 5640 | |
