LEA Program Tool Box

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The Department of Health Care Services (DHCS) Local Educational Agency (LEA) Medi-Cal Billing Option Program developed this ‘Tool Box’ to give LEAs quick access to useful resources and information concerning the proper administration and management of the LEA Medi-Cal Billing Option Program.  LEAs are ultimately responsible for administrative functions and should be familiar with the LEA Program Website, department policies, program regulations, and the LEA Program Provider Manual.

Helpful Program Links:

Frequently Asked Questions
LEA Training Materials
Onboarding Handbook
California Laws and Regulations
Federal Laws and Regulations
Policies and Procedure Letters
Provider Manual
Random Moment Time Survey

Important Program Documents and Dates:

Annual Report - due by annual mandated due date
Cost and Reimbursement Comparison Schedule - due November 30
Data Use Agreement - due upon registration (if applicable)
Provider Participation Agreement - due upon registration

Billing Information and Rates:

Annual Reimbursement Report
Billing Codes and Rates (LEA Provider Manual - see loc ed bil cd)
Claims Inquiry Form (CIF Overview section of Part One of the Medi-Cal Provider Manual)
Paid Claims Data Report
Rate Inflation Tables

Additional Information:

LEA Program Administration Checklist
Technical Assistance/Site Visit Request Form

Contact Information:

Update LEA provider information, Termination Form, Request Pin Number

Sign up for E-blast newsletters

DHCS LEA Medi-Cal Billing Option Program: LEA@DHCS.CA.GOV
Audits and Investigation Contact information: lea.crcs.questions@DHCS.CA.GOV

Useful Links:

BreEZe Professional Licenses Verification
California Department of Education:​
California Department of Education- CDS Code  
Employing Mental Health Professionals    
Individuals with Disabilities Education Act
Parental Consent
Special Education
Centers for Medicare & Medicaid Services
Commission on Teaching Credentialing
Data Universal Numbering Syst
National Provider Identification Number Registry
Suspended and Ineligible Provider List

Last modified date: 3/18/2022 1:46 PM