Certified Public Expenditure (CPE)
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CPE yog ib lub tswv yim rau cov koom haum pej xeem (qhov no, Lub Chaw Saib Xyuas Kev Kawm Hauv Zos (LEAs)) los lees paub tias cov nyiaj siv rau cov kev pab cuam Medicaid tsim nyog rau tsoomfwv cov peev nyiaj sib xws. Txij li Medicaid yog lub xeev-tsoomfwv txoj kev koom tes, Lub Chaw Haujlwm Saib Xyuas Kev Kawm Hauv Zos Medi-Cal Qhov Kev Pabcuam Nqis Nqi Se (LEA BOP) yuav tsum muaj ib txoj hauv kev los lees paub tias cov nyiaj uas siv los kos tsoomfwv cov nyiaj tau los ua tau raws li cov cai. Qhov no txhais tau hais tias LEA BOP xav tau cov khoom nram qab no kom ntseeg tau tias cov koom nrog LEAs ua raws li txoj haujlwm:
- Daim ntawv tshaj tawm tus nqi, Tus Nqi thiab Cov Nqi Them Rov Qab Sib Piv (CRCS), rau LEAs los lees paub lawv cov nqi tiag tiag rau kev muab kev pom zoo txog kev noj qab haus huv.
- LEAs yuav tsum tau lees paub tias lawv siv cov peev txheej uas tsis yog tsoomfwv los ua qhov sib tw rau kev them nyiaj rov qab los ntawm LEA BOP.
- LEAs yuav raug soj ntsuam txhua xyoo kom paub meej tias cov nyiaj kawg uas lawv yuav tau txais raws li kev ua raws li lub rooj sib tham.
Because CPE’s take a long time to get to the final settlement, LEAs receive interim reimbursements for allowable services by submitting claims throughout the school year. Once the Department of Health Care Services (DHCS) completes the audit to verify costs on the CRCS, DHCS will recoup any overpayment amount or pay the difference to the LEA if the certified cost exceeds interim reimbursements.