Medi-Cal Program staff manage the DNUSD participation in:
The Local Education Agency Medi-Cal Billing Option Program (LEA BOP)
Reimbursement is claimed for students who are Medi-Cal eligible and have been provided Medi-Cal-covered health services
Reimbursement dollars are reinvested in health services and support for students and families
The School Medi-Cal Administrative Activities (SMAA) Program-Random Moment Time Survey (RMTS)
Selected staff are surveyed to determine the amount of time spent enrolling students in Medi-Cal insurance, referring students to Medi-Cal covered health and mental health services, and coordinating care of students who are Medi-Cal enrollees
The federal share of reimbursable costs comes to DNUSD without restriction for use in the general fund to benefit students
Third-party Reimbursement under Medi-Cal or other local, state, or federal programs through services provided at the District’s school-based health and mental health clinics
Types of Services
Claims preparation and reconciliation for the LEA Billing Option Program, invoicing for the SMAA program, and billing of third-party payers
Quality review of Medi-Cal and third-party claims
Program and policy development for participation in Medi-Cal Programs
Roster development and coding for the SMAA / RMTS Program
