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This document provides an overview of the Local Educational Agency (LEA) Medi-Cal Billing Option Program, detailing policies, billing instructions, eligible services, and practitioner qualifications.

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How to fill out Local Educational Agency (LEA) Medi-Cal Billing Option Program

1. Gather necessary documentation: Ensure you have all required documents, such as student Medi-Cal eligibility information.
2. Register your LEA: Complete the registration process with the appropriate state department to participate in the Medi-Cal Billing Option Program.
3. Train staff: Provide training for staff members involved in billing and documentation to ensure compliance with Medi-Cal requirements.
4. Complete Medi-Cal forms: Fill out the necessary Medi-Cal billing forms accurately for the services provided to eligible students.
5. Submit claims: File claims for reimbursement within the designated time frame, ensuring all information is accurate and complete.
6. Monitor claims: Regularly check the status of submitted claims and follow up as needed to resolve any issues.
7. Track expenses: Maintain detailed records of all services provided and costs incurred to support accurate reporting.
8. Review and audit: Periodically review billing practices and documentation for compliance with Medi-Cal regulations.

Who needs Local Educational Agency (LEA) Medi-Cal Billing Option Program?

1. Local Educational Agencies (LEAs) that provide health services to students eligible for Medi-Cal.
2. Schools that aim to obtain reimbursement for health-related services offered to eligible students.
3. Education professionals involved in managing health services and billing practices within educational institutions.

People Also Ask about

What is the income limit to qualify for Medi-Cal in California?

You are 19-64 years old and your family's income is at or below 138% of the Federal Poverty Level (FPL) ($21,597 for an individual; $44,367 for a family of four). You are a child 18 or younger and your family's income is at or below 266% of FPL ($85,519 per year for a family of four).

How do I contact Medi-Cal in California?

Telephone Service Center 1-800-541-5555 The Telephone Service Center (TSC) is available from 8 a.m. to 5 p.m., Monday through Friday, except holidays.

What is Medi-Cal called in California?

What is Medi-Cal? Medi-Cal is California's Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources.

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What is Local Educational Agency (LEA) Medi-Cal Billing Option Program?

The Local Educational Agency (LEA) Medi-Cal Billing Option Program is a program that allows LEAs to receive reimbursement for certain health-related services provided to students under the Medi-Cal program.

Who is required to file Local Educational Agency (LEA) Medi-Cal Billing Option Program?

Local Educational Agencies, including school districts and county offices of education, that provide Medi-Cal reimbursable services to eligible students are required to file the LEA Medi-Cal Billing Option Program.

How to fill out Local Educational Agency (LEA) Medi-Cal Billing Option Program?

To fill out the LEA Medi-Cal Billing Option Program, agencies must complete the Medi-Cal Billing claims form and submit it along with required documentation that verifies the services provided.

What is the purpose of Local Educational Agency (LEA) Medi-Cal Billing Option Program?

The purpose of the LEA Medi-Cal Billing Option Program is to provide financial assistance to schools for the costs associated with providing health care services to students, ensuring that essential services are accessible.

What information must be reported on Local Educational Agency (LEA) Medi-Cal Billing Option Program?

Agencies must report data related to the number of services provided, the type of services rendered, student eligibility for Medi-Cal, and any expenses incurred during service delivery.