Mga Plano ng Estado ng Programang LEA
The Medicaid State Plan is based on requirements set forth it Title XIX of the Social Security Act and is a comprehensive written document created by the State of California that describes the nature and scope of its Medicaid program. It services as a contractual agreement between the State of California and the federal CMS and must be administered in conformity with specific requirements of Title XIX of the Social Security Act and regulations outlined in Chapter IV of the Code of Federal Regulations. The State Plan contains all information necessary for CMS to determine if the State can receive Federal Financial Participation for its Medicaid program. There are several areas in the California State Plan that outline the requirements for covered services and the reimbursement methodology for the LEA Program:
- Attachment 3.1-A pahina 9; Mga Limitasyon sa Attachment 3.1-A pahina 9t at 26-29: Halaga, Tagal, at Saklaw ng Medikal at Remedial Care at Mga Serbisyo- Categorically Needy, pahina 9-9t at 26-29m
- Attachment 3.1-B pahina 9; Mga Limitasyon sa Attachment 3.1-B pahina 9p at 25-28m: Halaga, Tagal, at Saklaw ng Mga Serbisyong Ibinibigay sa Mga Grupo na Nangangailangan ng Medikal, mga pahina 9-9p at 25-28m
- Supplement 8 sa Attachment 4.19-B: Pagbabayad para sa Mga Serbisyo ng LEA (kabilang ang TCM), pahina 1-12
- Supplement 1c sa Attachment 3.1-A: TCM Services- Mga batang may IEP at IFSP, pahina 1-5
Updates and information regarding LEA Program State Plan Amendments:
Ang pahinang ito ay ina-update na may higit pang impormasyon. Kung mayroon kang mga tanong tungkol sa kamakailang Mga Pagbabago sa Plano ng Estado na may kaugnayan sa LEA BOP mangyaring mag-email sa lea@dhcs.ca.gov.