Ordering, Referring and Prescribing (ORP) Policy

With the new ORP policy going into effect July 1st, it may be the right time to ask if your current billing solution will have you compliant when the policy is implemented.

We are proud to say, CSBA’s Practi-Cal has the tools ready today for our clients to comply with the new policy.

We are familiar with the marketplace and know there are consultants that will not have their electronic systems ready and their clients will need to either have their billing held or go back to using modified and difficult paper forms. Additionally, DHCS is focused on medically related services regardless of the student’s plan…So is Practi-Cal. Other solutions focus on only a portion of the eligible services and for students who have an IEP or IFSP. While they offer alternative (paper) solutions for what they cannot currently provide electronically. Practi-Cal offers a complete electronic solution that removes the duplication of efforts by district leadership and practitioners.

Practi-Cal has been leading the way in LEA billing and is why LEA’s up and down the state are making the switch. It is so much more than just the new ORP policy though. We have the easiest and most compliant software on the market. From the only complete transportation billing system to our care plan writer and our DHCS reviewed and approved electronic 1:1 procedure log.

We would appreciate the opportunity to do a live demonstration either in person or via webinar and show you first-hand how our claiming system will improve the success and compliance of your LEA Billing Option program.

Finally, we are not finished in our efforts to develop useful and needed solutions. We have features in development that are not only ground-breaking, but not provided by any other consulting firm.

DHCS Provide Clear Guidance on OT and PT Prescriptions

DHCS sent the following blast to all LEA’s regarding the requirements for OT/PT therapy prescriptions.  In a nutshell, the policy has reverted back to the way it was, with the exception of 6 month prescription renewals.  Read the text below from DHCS:

Updated Policy Regarding Prescriptions for Physical Therapy (PT) and Occupational Therapy (OT) Treatment Services under the LEA Medi-Cal Billing Option Program.

Prescriptions for PT and OT treatment services, as required by Title 22, California Code of Regulations, Section 51309(a), may come from physicians employed by or contracted with the LEA, or may come from the student’s primary care physician, dentist or podiatrist. A prescribing physician does not need to be the student’s primary care physician, and does not need to personally evaluate the student to issue a prescription for PT or OT treatment services. However, the prescribing physician must have a working relationship with the LEA and treating physical/occupational therapist, and must review the student’s records prior to prescribing services. Prescriptions for treatment plans are limited to six months and must be renewed for medical necessity.

Welcome Back

Welcome Back!

Here we are with many districts already back in session and services are already being scheduled and/or provided. We hope each of had some time to relax and enjoy some time away from work. This summer, Practi-Cal, has been busy taking the next steps in preparation for the approval of SPA 15-021 as well as enhancing our practice management resources. We have launched features to enhance our daily service journal for Nursing and Healthcare services. These enhancements ake using SpEdCare to document procedures, services and events, easy and above all compliant.

We are confident there is not anything like this on the market for the LBO Program, when it come to documenting and claiming for eligible services.

Electronic Signature Verification

Electronic Signature Verification

On July 1st, SpEdCare will request re-verification of our Electronic Signature Acknowledgment.   This will be communicated through our announcement system in SpEdCare.  After reviewing the text, you will be asked to certify your agreement for FY2017-2018.