Cost & Reimbursement Comparison Schedule Fiscal Year 2010-11

Fiscal Year 2010-11 CRCS Submission Deadline:

NOVEMBER 30, 2012

Page Updated: July 18, 2012 

Mandatory CRCS Requirement:

Participants in the LEA Medi-Cal Billing Option (LBO) Program are required to annually certify, through the CRCS process, that the public funds expended to provide LBO Program services are eligible for federal financial participation.  Therefore, continued enrollment in the LBO Program is contingent upon timely submission of the CRCS each fiscal year.  Failure to meet this requirement may result in removal from the LBO Program.

LEA Interim Reimbursement and Units of Service (IRUS) Report:

LEA Reimbursement Rates:

  • LEA Program Rebased Rates (Archived)

FY 2010-11 CRCS Form:

  • FY 2010-11 CRCS Forms (Archived) *Please make sure that you use the CRCS dated 7/12
  • FY 2010-11 CRCS Forms Update Summary (Archived) - *The FY 10-11 CRCS Forms Update Summary provides information on the CRCS Form updates required for this fiscal year.  Please refer to this summary when completing the CRCS Forms.
  • FY 2010-11 CRCS Training Supplement (Archived) - *The FY 10-11 CRCS Training Supplement is to assist LEAs with understanding the CRCS Form flow and provide additional guidance.  

FY 2010-11 CRCS Resources:    

Required Documentation:

A&I will conduct a field audit and/or desk review of the CRCS to audit submitted information and complete the final settlement amount. To facilitate this process, the reports and supporting documents must be maintained by each LEA for a minimum of three years from the date of final submission of the CRCS. These documents must be verifiable by DHCS Audits and Investigations staff. LEA providers may appeal the determinations made by DHCS pursuant to Welfare and Institutions Code, Section 14171.

CRCS Submission Process:

 LEAs must submit the following electronic files no later than November 30, 2012, to

  • Excel version of the completed CRCS form (all worksheets)
  • Scanned version of the original signed CRCS form (i.e., PDF, JPEG, etc.)

 CRCS electronic files must follow this naming convention: Fiscal Year, NPI Number,  Business LEA Name, Submission Date

    • CRCS Fiscal Year Example: FY1011.1234567890.SampleSchoolDistrict.10.15.2012.CRCS.XLS (or .PDF)

LEAs are required to maintain the original hard copy CRCS with all worksheets and the Certification page signed in blue ink on site for DHCS A&I audit purposes, if necessary.

CRCS Questions/Contacts: 

CRCS Questions:                     LEA.CRCS.Questions@DHCS.CA.GOV

CRCS Submissions:                  LEA.CRCS.Submission@DHCS.CA.GOV 

IRUS Report Requests:             LEA@DHCS.CA.GOV

Last modified date: 9/30/2019 11:55 AM