Cov ntaub ntawv sau npe thiab ua raws li LEA Program
Rov qab mus rau LEA Home Page
Hloov tshiab: Lub Rau Hli 1, 2024
Yuav tsum tau LEA Qhov Kev Pabcuam Muab Kev Koom Tes Daim Ntawv Pom Zoo & Daim Ntawv Qhia Txhua Xyoo
The Provider Participation Agreement (PPA) and Annual Report (AR) are required for participation in the LEA Program. The PPA contains two exhibits: Exhibit A – Health Insurance Portability and Accountability Act (HIPAA) Business Associate Addendum (BAA), and Exhibit B – Data File Description. In addition to complying with the terms listed in the PPA, all LEA providers must abide by the terms listed in the BAA. The purpose of the BAA is to guard the privacy and security of protected health information and personal information that may be created, received, maintained, transmitted, used or disclosed pursuant to the PPA, and to comply with certain standards and requirements of HIPAA regulations. Exhibit B is a description of the data provided to the LEA via data tape match. LEAs do not need to sign or return Exhibits A and B to the Department of Health Care Services (DHCS).
Daim Ntawv Pom Zoo Siv Cov Ntaub Ntawv
Cov chaw muab kev pab LEA uas xaiv tus neeg muag khoom them nqi sab nraud ua lawv tus "Tus Saib Xyuas Cov Ntaub Ntawv" yuav tsum xa daim ntawv DUA peb zaug ib xyoos, uas tau kos npe los ntawm cov neeg sawv cev ntawm DHCS, LEA, thiab tus muag khoom. Yog tias tus neeg muab kev pabcuam LEA tsis siv cov kev pabcuam ntawm tus neeg muag khoom them nqi sab nraud thiab ua nws tus kheej daim ntawv them nqi hauv tsev, LEA yuav tsum xa daim ntawv DUA ob tog, uas tau kos npe los ntawm cov neeg sawv cev ntawm DHCS thiab LEA.
Daim Ntawv Cog Lus Koom Tes Nrog Tus Muab Kev Pabcuam, Daim Ntawv Qhia Txhua Xyoo, thiab Daim Ntawv Cog Lus Siv Cov Ntaub Ntawv thiab Cov Lus Qhia
(Xa email rau LEA.AnnualReport@dhcs.ca.gov kom tau txais cov ntaub ntawv PPA, AR, thiab DUA)
Daim SFY 2023-24 AR yuav tsum xa rau lub Kaum Ib Hlis Ntuj hnub tim 30, 2023. Lub SFY 2023-24 AR muaj thaum thov. Thov xa cov lus thov, thiab cov ntaub ntawv xa mus rau LEA.AnnualReport@dhcs.ca.gov.
Thov siv Adobe Acrobat lossis Reader kom ua tiav cov ntawv.
Thov xa cov lus nug txog LEA PPA & AR mus rau: LEA@dhcs.ca.gov
Txhua tus LEA uas nyuam qhuav tso npe tshiab yuav tsum xa PPA, AR, thiab DUA (yog tias tsim nyog) kom pib koom nrog LEA Medi-Cal Qhov Kev Xaiv Nqi Nqi Them Nqi.
Cov ntaub ntawv khaws cia
LEA Daim Ntawv Qhia Txhua Xyoo thiab cov ntaub ntawv txhawb nqa yuav tsum tau khaws cia los ntawm txhua tus LEA rau tsawg kawg peb xyoos txij li hnub xa mus rau DHCS thiab cov ntaub ntawv muaj nyob rau hauv yuav tsum tau lees paub los ntawm DHCS Cov Neeg Ua Haujlwm Kev Tshawb Fawb thiab Kev Tshawb Fawb, yog tias tsim nyog.
Cov Ntawv Luam ntawm Xyoo Tshaj Tawm Ua Ntej PPA lossis AR
To obtain a copy of a prior year’s PPA or AR, please send your request to LEA.AnnualReport@dhcs.ca.gov.
Kev piav qhia ntawm Kev Tshawb Fawb thiab Kev Tshaj Tawm Tus Nqi
Cov Chaw Haujlwm Saib Xyuas Kev Kawm Hauv Zos (LEAs) uas tau sau npe rau hauv Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) yuav tsum xa daim ntawv Cost and Reimbursement Comparison Schedule (CRCS) txhua xyoo mus rau Department of Health Care Services (DHCS) rau kev tshuaj xyuas thaum Lub Peb Hlis 1 txhua xyoo. Cov neeg ua haujlwm ntawm DHCS' Audits and Investigations yuav tshuaj xyuas daim ntawv xa mus ntawm CRCS kom paub meej tias puas tiav. Tom qab CRCS raug lees txais tias ua tiav lawm, DHCS yuav tshaj tawm qhov kev sib hais haum ib ntus lossis zaum kawg ntawm Medi-Cal feem ntawm txhua tus nqi LEA hauv 12 lub hlis ntawm hnub kawg xa daim ntawv thov rau lub Peb Hlis 1. Cov kev daws teeb meem ib ntus tau suav nrog ua ib feem ntawm Txoj Kev Npaj Hloov Kho Lub Xeev 15-021 thiab tau pib nrog CRCS rau xyoo nyiaj txiag (FY) 2021-22 uas yuav tsum tau ua rau lub Peb Hlis 1, 2023. Qhov kev sib hais haum ib ntus yog raws li 100 feem pua ntawm qhov kev sib hais haum raws li tau tshaj tawm vim yog DHCS thiab 60 feem pua ntawm qhov kev sib hais haum raws li tau tshaj tawm vim yog LEA. Pib nrog FY 2022-23 CRCS uas yuav tsum tau them rau lub Peb Hlis 1, 2024, thaum qhov kev daws teeb meem zaum kawg tsis tau muab tawm hauv 12 lub hlis ntawm hnub kawg ntawm lub Peb Hlis 1, DHCS yuav tsum ua tiav qhov kev daws teeb meem zaum kawg tsis pub dhau 18 lub hlis tom qab hnub uas CRCS raug xa mus.
Tom qab qhov kev txiav txim ib ntus raug muab tso tawm, DHCS yuav ua qhov kev ntsuam xyuas CRCS los txiav txim siab txog qib ntawm CRCS audit. CRCS kev tshuaj xyuas yog ua raws li kev soj ntsuam tsawg kawg nkaus, kev tshawb xyuas tsis pub dhau, lossis kev tshawb xyuas hauv cheeb tsam thiab tej zaum yuav suav nrog kev tshuaj xyuas cov nqi tso cai raws li tsoomfwv txoj cai lij choj, xeev txoj cai lij choj, thiab LEA BOP txoj cai. DHCS yuav tham txog ib qho kev tshawb nrhiav CRCS nrog LEA thiab koom tes nrog LEA los daws cov lus nug, kev txhawj xeeb, lossis kev tsis pom zoo los ntawm cov txheej txheem tshawb xyuas. Thaum qhov sib txawv ntawm cov nyiaj tshaj tawm raws li tau sau tseg thaum xa tawm ntau dua 25 feem pua ntawm qhov kev txiav txim zaum kawg, DHCS yuav muab kev pab cuam rau LEA los pab LEA kom nkag siab qhov yuam kev kom nws yuav zam tau yav tom ntej.