Cost and Reimbursement Comparison Schedule for Fiscal Year 2024-25​​ 

Submission Deadline:​​ 

The submission deadline for the Cost and Reimbursement Comparison Schedule (CRCS) for Fiscal Year (FY) 2024-25 is March 2, 2026.​​ 

Direct Medical Services Percentage:​​ 

The Direct Medical Services Percentage (DMSP) results from the Random Moment Time Study (RMTS) and is used to allocate total service costs and net of federal funds.​​ 

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 FY. Failure to meet this requirement may result in suspension from the LEA BOP.​​ 

CRCS поддерживает отчеты о возмещении:​​ 

Note: The Fiscal Year 2024-25 Program Administration Withhold and CYBHI Fee Schedule Payments Reports will be available soon.
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• FY 2024-25 Annual Reimbursement Report​​ 
  

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 aa. LEAs should verify the reasonableness between your internal accounting system and the Annual Reimbursement Report and accurately input the 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 1, 2025, 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.
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• FY 2024-25 FMAP Grouping Percentages Report​​ 
  

Примечание: Отчет о процентном соотношении возмещения по группировке FMAP поможет правоохранительным органам заполнить рабочий лист CRCS по статистике распределения. Данные, предоставленные DHCS, будут включать процентную разбивку общей суммы временного возмещения каждого правоохранительного органа по группам кодов помощи, присвоенным каждой категории FMAP. Данные показывают, какая часть общей суммы возмещения LEA приходится на коды помощи в каждой группе FMAP, а общая сумма всех введенных данных составит 100%.
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• FY 2024-25 Program Administration Withhold Report​​ 
  

Note: The Program Administration Withhold Report will assist LEAs to complete the CRCS. The total amount contributed to the withhold for FY 2024-25 will be entered on the CRCS Worksheet A, line ad. This report represents the total amount withheld from the LEA in the fiscal year and will be reconciled against the LEA's total authorized withhold amount for the fiscal year.
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• FY 2024-25 Specialized Medical Transportation Report​​ 
  

Note: The LEA Specialized Medical Transportation Report may assist LEAs in identifying their billable one-way trips in FY 2024-25, 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 1, 2025, 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 FY 2024-25 Specialized Medical transportation Report.
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• FY 2024-25 CYBHI Fee Schedule Payments Report​​ 
  

Заметка:​​  The Children and Youth Behavioral Health Initiative (CYBHI) Fee Schedule Payments Report will assist LEAs that billed the CYBHI Fee Schedule Program for services rendered in FY 2024-25. Please note, you only need to capture the CYBHI Fee Schedule Payments on the CRCS if that practitioner's costs are reported on the CRCS. This report is not final since CYBHI participating providers still have time to bill claims from FY 2024-25. Any additional payments received after the report date will be finalized during the CRCS audit.​​ 

FY 2024-25 CRCS Forms 6299:​​ 

• FY 2024-25 CRCS Form 6299​​ 
  
• FY 2024-25 CRCS Form 6299 Instructions​​ 
  
• Подпись CRCS и документ о сертификации​​ 
  

FY 2024-25 CRCS and Certification of Zero Reimbursement Form 6299a:​​ 

The following form is required for LEAs that received interim payments in FY 2024-25:​​