​​​​​LEA Medi-Cal Billing Option Program Policy and Procedure Letters

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​​Back to Policy and Procedure Letters Archive by Year

Number & Date​ ​Description

​Attachment

​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 ProgramsRMTS 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 ProgramAttachments 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

​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​
PPL 15-024R
June 28, 2016
 
PPL 15-024
December 1, 2015
(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​

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​
 


March 30, 2012

​LEA Medi-Cal Billing Option Program - Changes to Standardized Account Code Structure Resource Code 5640

 
Last modified date: 11/30/2020 12:10 PM