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Home Providers & Partners LEA Program Provider Participation Agreement and Annual Report 

LEA Program Provider Participation Agreement and Annual Report 

New  and Returning Providers:

Provider Participation Agreement / Annual Report for the 2015-2016 School Year

Effective July 1, 2015 DHCS implemented the ‘evergreen’ Provider Participation Agreement (PPA). This PPA replaces the three-year PPA, and will not be required to be renewed at scheduled three-year intervals, and will have no predetermined expiration date.

All LEAs participating in the LEA Medi-Cal Billing Option Program are required to submit the ‘evergreen’ PPA. This includes new and returning LEAs.

The submission deadline for the ‘evergreen’ PPA and the FY 2014-15 Annual Report (AR) has been extended to November 30, 2015.