Using the new CDE Implementation requirements to improve Medi-Cal Billing

The forthcoming CDE implementation requirements provide an opportunity to improve Medi-Cal reimbursement for California LEA’s. The new CDE policy, requires LEA’s to document the minutes providing promised services to students in special education. While promised services may be delivered, they are not necessarily being documented. Practi-Cal tracks promised service delivery using algorithms that analyze special […]
Billing for Nursing Services in the School Setting (CDE Implementation)

With the forthcoming CDE Implementation requirements for California LEAs, we want to discuss billing for nursing services. Practi-Cal has the only documentation system that includes full management, recording and reporting to meet CDE documentation requirements. One area that we have already noticed outliers, is the over recording of IEP nursing services to CALPADS code 435. […]
CDE Implementation for Contracted Services

By now, you should be aware of the upcoming CDE implementation requirements. Today, we want to discuss CDE Implementation compliance, when services are provided by contracted agencies, schools, or individuals. The new CDE requirement that all promised IEP minutes be recorded and reported, will also extend to those contracted service providers. The challenge comes, when […]
Unwinding the Public Health Emergency (PHE) for LEAs

On October 13, the US Government extended the current Public Health Emergency (PHE) another 90 days. This pushes the current federal expiration date to January 2023. During the past few State Workgroup meetings, DHCS shared information about unwinding the PHE and what that means for Medi-Cal beneficiaries. There are currently two main effects ending the […]
California Eyes Post-COVID-19 Telehealth Policy for Medicaid Patients

California’s Department of Health Care Services has released a 14-page document outlining post-pandemic telehealth coverage for the Medi-Cal program, including payment parity and expanded coverage for FQHCs and RHCs. View the document here: https://mhealthintelligence.com/news/california-eyes-post-covid-19-telehealth-policy-for-medicaid-patients
Parents Struggle with a New Dilemma: Is it Safe to Send Kids Back to School?

Read the article on the Los Angeles Time’s site.