California established the Local Education Agency (LEA) Medi-Cal Billing Option Program in 1993 and the Medi-Cal Administrative Activities Program (MAA) in 1994.
The Local Education Agency Medi-Cal Billing Option program is a fee-for- service program, which includes direct assessment and services to Medi-Cal eligible children. Claims which capture this direct service require the name of the student, the name of the provider, the date of service, and supporting documentation for the nature and extent of the services.
Reimbursements for LEA direct services are returned to the District as General Fund- Restricted funds. Funds are restricted by the oversight of a Collaborative Board as defined in the California state education code.
For more information about the LEA Medi-cal billing Option programs see the DHCS website: http://www.dhcs.ca.gov/provgovpart/Pages/LEA.aspx
The Medi-Cal Administrative Activities (MAA) Program claims reimbursement for administrative activities, including outreach and enrollment, referral to Medi-Cal services, and other specific administrative activities that improve and support Medi-Cal services to children. The District is required to implement a quarterly time study methodology completed by District personnel in order to claim this revenue. DUSD uses a time sampling methodology known as Random Moment Time Survey (RMTS).
Reimbursements for the MAA/RMTS program are returned to the District as General Funds.
For more information about the MAA/RMTS program see DHCS website: