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Get the free LEA Medi-Cal Billing Option Program - DHCS - CA.gov

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LEA Medical Billing Option Program June 1, 2022SFY 201718 Amended Cost and Reimbursement Comparison Schedule (ARCS) LEA BOP Training Session June 2022Introductions California Department of Health
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How to fill out lea medi-cal billing option

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How to fill out lea medi-cal billing option

01
Obtain a LEA Medi-Cal Billing Provider Number from the California Department of Health Care Services (DHCS).
02
Complete the LEA Medi-Cal Billing Option Application form provided by DHCS.
03
Submit the completed application along with any required supporting documentation to DHCS for approval.
04
Once approved, follow the guidelines outlined in the LEA Medi-Cal Billing Manual for submitting claims and receiving reimbursement.

Who needs lea medi-cal billing option?

01
School districts or local educational agencies (LEAs) that provide healthcare services to Medi-Cal eligible students.
02
LEAs that wish to seek reimbursement for medically necessary services provided to students under the Medi-Cal program.
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The LEA Medi-Cal Billing Option Program allows local educational agencies (LEAs) to seek reimbursement for eligible health services provided to Medi-Cal enrolled students.
LEAs who provide health services to Medi-Cal enrolled students are required to file the LEA Medi-Cal Billing Option.
To fill out the LEA Medi-Cal Billing Option, LEAs must submit a claim for each eligible health service provided to a Medi-Cal enrolled student.
The purpose of the LEA Medi-Cal Billing Option is to allow LEAs to receive reimbursement for health services provided to Medi-Cal enrolled students.
Information such as student demographics, services provided, and provider information must be reported on the LEA Medi-Cal Billing Option.
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