2023-24 财年费用和报销对比表
提交截止日期
2023-24 财政年度 (FY) 的费用与报销比较计划 (CRCS) 的提交截止日期为3 月1日、 2025日。
直接医疗服务比例
直接医疗服务百分比 (DMSP) 源自随机时刻调查 (RMTS)，用于在工作表 A 上分配扣除联邦资金后的总服务成本。
| RMTS 行政单位 | 百分比 |
|---|---|
| Consortia 1, 2, 7: Sonoma – Glenn – Madera | 52.99％ |
| Consortia 3, 4, 5, 6: Sutter – Contra Costa – Santa Cruz – Stanislaus | 55.57% |
| Consortia 8, 9: Kern – Orange | 56.91% |
| 第 10 区：圣贝纳迪诺 | 47.01％ |
| 第 11 区：洛杉矶 | 56.83% |
| 洛杉矶联合学区（LAUSD） | 66.65％ |
强制性 CRCS 要求：
地方教育机构 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 取决于每个财政年度及时提交 CRCS。未能满足此要求可能会导致 LEA BOP 被暂停。
CRCS 支持报销报告：
Note: The CRCS Form 6299 and CRCS Supporting Reimbursement Reports will be available soon.
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 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 19, 2024, 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 Program Administration Withhold Report will assist LEAs to complete the CRCS. The total amount contributed to the withhold for FY 2023-24 will be entered on the CRCS Worksheet A, line ah. 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.
Note: The LEA Specialized Medical Transportation Report may assist LEAs in identifying their billable one-way trips in FY 2023-24, 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 19, 2024, 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 2023-24 Specialized Medical transportation Report.
2023-24 财年 CRCS 表格 6299：
2023-24 财年 CRCS 和零报销证明表 6299a：
对于在 2023-24 财年收到临时付款的执法机构 (LEA)，需要填写以下表格：
- 2023-24 财年零报销证明（可应要求提供，电子邮件为LEA@dhcs.ca.gov ）
在 3 月1 之前提交零报销证明表 6299a，2025 ，LEA.CRCS.Submission@dhcs.ca.gov，并使用以下命名规则：
财政年度.NPI 编号.业务 LEA 名称.提交日期.零 CRCS
例如FY2024.9726458910.CaliforniaSchoolDistrict.3.01.2025.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 表格 6299 提交流程：
执法机构 (LEA) 必须在1年2025月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）
- CRCS 签名和认证文件
- 衔接文件/分组计划
- 生产日志
CRCS electronic files and the subject line of the email must follow this naming convention: Fiscal Year.NPI Number.Business LEA Name.Submission Date
- CRCS 财政年度示例：FY2024.1234567890.SampleSchoolDistrict.3.1.2025.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
CRCS Audits: LEAAuditQuestions@DHCS.CA.GOV