2019-20 财年费用和报销对比表
提交截止日期
The submission deadline for the Cost and Reimbursement Comparison Schedule (CRCS) for State Fiscal Year (SFY) 2019-20 is April 30, 2022.
直接医疗服务比例
| RMTS 行政单位 |
百分比 |
|---|---|
| Consortia 1, 2, 7: Sonoma – Glenn – Madera |
49.61％ |
| Consortia 3, 4, 5, 6: Sutter – Contra Costa – Santa Cruz – Stanislaus |
51.88％ |
| Consortia 8, 9: Kern – Orange |
51.90％ |
| 第 10 区：圣贝纳迪诺 |
48.35％ |
| 第 11 区：洛杉矶 |
52.41％ |
| 地方政府协会联盟 |
49.02％ |
强制性 CRCS 要求：
LEA Medi-Cal 账单选项 (LEA BOP) 的参与者需要每年通过 CRCS 流程证明，用于提供 LEA BOP 服务所花费的公共资金有资格获得联邦财政参与。 因此，继续参加 LEA BOP 取决于每年 SFY 及时提交 CRCS。 未能满足此要求可能会导致 LEA BOP 被停职。
CRCS 支持报销报告：
- SFY 2019-20 年度报销报告（可应要求提供）
Note: The LEA Annual Reimbursement Report will assist LEAs to complete CRCS Worksheet F. LEAs should verify the reasonableness between your internal accounting system and the LEA Annual Reimbursement Report and accurately input encounters, units and reimbursement information for each service type on your CRCS form. Potential discrepancies between the LEA 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: 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%.
2019-20 财年 CRCS 和零报销认证表：
LEAs that do not receive any Medi-Cal reimbursement in the LEA Medi-Cal Billing Option Program for services that were provided in the State Fiscal Year 2019-20 must submit the “Certification of Zero Reimbursement for LEA Services” DHCS Form 6299a and are not required to submit the CRCS Form 6299.
Submit the Zero Reimbursement Form by April 30, 2022 to LEA.CRCS.Submission@dhcs.ca.gov and use the following naming convention:
Fiscal Year.NPI Number.Business LEA Name.Submission Date.ZERO CRCS
Example: SFY1920.9726458910.CaliforniaSchoolDistrict.3.30.2022.ZERO CRCS.PDF
其他 CRCS 资源：
所需文件：
DHCS 审计和调查 (A&I) 工作人员将对 CRCS 进行桌面或现场审计，以确定最终的结算金额。 自最终提交 CRCS 之日起，每个 LEA 必须保存支持文件至少三年。 这些文件必须能够由 A&I 验证。 LEA 提供商可以根据福利和机构法典第14171条对 DHCS 做出的决定提出上诉。
CRCS 提交流程：
执法机构 (LEA) 必须在2022 30之前将以下电子文件提交至LEA.CRCS.Submission@dhcs.ca.gov ：
- 已完成的 CRCS 表格的 Excel 版本（所有工作表）
- 已签名的原始 CRCS 表格的扫描版本（即 PDF、JPEG 等）
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 州财政年度示例：SFY1920.1234567890.SampleSchoolDistrict.4.30.2022.CRCS.XLS（或 .PDF）
如有必要，LEA 须在现场保留包含所有工作表和用蓝色墨水签名的认证页的原始硬拷贝 CRCS，以供 DHCS A&I 审计之用。
A&I 将对超过 CRCS 到期日 30 天以上的提供商实施 100% 的报销扣留。 一旦拖欠的 CRCS 被提交并且通过了验收审查，100% 的扣留将被取消。
CRCS 问题/联系方式：
CRCS Submissions: LEA.CRCS.Submission@DHCS.CA.GOV
Annual Reimbursement Report Requests: LEA@DHCS.CA.GOV