Cost and Reimbursement Comparison Schedules for SFY 2022-23
Back to Main CRCS PageBack to LEA Home PageSubmission Deadline
The submission deadline for the Cost and Reimbursement Comparison Schedule (CRCS) for State Fiscal Year (SFY) 2022-23 is March 1, 2024.
Direct Medical Services Percentage
The Direct Medical Services Percentage (DMSP) results from the Random Moment Time Survey (RMTS) and is used to allocate total service costs, net of federal funds, on Worksheet A.
Consortia 1, 2, 7: Sonoma - Glenn - Madera
| 52.86%
|
Consortia 3, 4, 5, 6: Sutter - Contra Costa - Santa Cruz - Stanislaus
| 54.54%
|
Consortia 8, 9: Kern - Orange
| 52.20%
|
Region 10: San Bernardino
| 46.70%
|
Region 11: Los Angeles
| 54.65%
|
LGA Consortia
| 53.98%
|
Los Angeles Unified School District (LAUSD)
| 66.06% |
Mandatory CRCS Requirement:
Participants in the Local Educational Agency Medi-Cal Billing Option (LEA BOP) are required to annually certify, through the CRCS process, that the public funds expended to provide LEA BOP services are eligible for federal financial participation. Therefore, continued enrollment in the LEA BOP is contingent upon timely submission of the CRCS each SFY Failure to meet this requirement may result in suspension from the LEA BOP.
CRCS Supporting Reimbursement Reports:
Note: The LEA Annual Reimbursement Report will assist LEAs to complete the CRCS. Total interim reimbursement will be entered on the CRCS Worksheet A, line ab. LEAs should verify the reasonableness between your internal accounting system and the Annual Reimbursement Report and accurately input total interim reimbursement information on your CRCS form. Potential discrepancies between the Annual Reimbursement Report and your internal system numbers should be documented to support the numbers you input on the CRCS forms and to provide an accounting documentation trail for review and audit. Note that the interim reimbursement figures published on the Annual Reimbursement Report reflect total interim payments made as of December 12, 2023, prior to the one-year claiming limitation for LEA BOP claims. The Annual Reimbursement Report information posted above is not final and will be adjusted by DHCS Audits and Investigations during the review of the CRCS.
Note: The FMAP Grouping Reimbursement Percentages Report will assist LEAs to complete the allocation statistics CRCS worksheet. The data provided by DHCS will include a percentage breakdown of each LEA’s total interim reimbursement by aid code groupings that are assigned to each FMAP category. The data represents how much of the LEA’s total reimbursement is attributable to aid codes in each FMAP grouping and the total of all data entered will sum to 100%.
Note: The LEA Specialized Medical Transportation Report may assist LEAs in identifying their billable one-way trips in SFY 2022-23, which is the numerator in the Specialized Medical Transportation One-Way Trip Ratio (calculated on the Allocation Statistics worksheet on the CRCS). LEAs should verify the reasonableness between this report and your internal accounting system and accurately input total one-way trips on the Allocation Statistics worksheet. Note that the count of one-way trips published on this report reflects payments made as of December 12, 2023, prior to the one-year claiming limitation for LEA BOP claims. If your LEA does not claim for specialized medical transportation, you will not use the SFY 2022-23 Specialized Medical Transportation Report.
SFY 2022-23 CRCS Form 6299:
The following form are required for LEAs that received interim payments in SFY 2022-23:
SFY 2022-23 CRCS and Certification of Zero Reimbursement Form 6299a:
The following form are required for LEAs that received interim payments in SFY 2022-23:
- SFY 2022-23 Certification of Zero Reimbursements (available by request, e-mail LEA@dhcs.ca.gov)
State Fiscal Year.NPI Number.Business LEA Name.Submission Date.ZERO CRCS
Example: SFY2023.9726458910.CaliforniaSchoolDistrict.3.01.2024.ZERO CRCS.PDF
Additional CRCS Resources:
Required Documentation:
DHCS Audits and Investigations (A&I) staff will conduct a desk or field audit of the CRCS to determine the final settlement amount. 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 A&I. LEA providers may appeal the determinations made by DHCS pursuant to
Welfare and Institutions Code, Section
14171.CRCS Form 6299 Submission Process:
- Excel version of the completed CRCS form (all worksheets)
- CRCS Signature and Certification Document
- Bridging Documents/Grouping Schedule
- Production Log
CRCS electronic files and the subject line of the email must follow this naming convention: State Fiscal Year.NPI Number.Business LEA Name.Submission Date
- CRCS State Fiscal Year Example: SFY2023.1234567890.SampleSchoolDistrict.3.1.2024.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.
A&I is implementing a 100% reimbursement withhold on providers who are more than 30 days past the due date of the CRCS. The 100% withhold will be lifted once the delinquent CRCS has been submitted and has passed the acceptance review.
CRCS Questions/Contacts:
