Medi-Cal Administrative Activities - Worker Log

The MAA Program has been in California for many years. What started out as a thirty day worker log, completed in October, transitioned into a five day worker log, completed four times a year. These four Time Survey Periods provide an opportunity for the Local Education Agency (LEA) to be reimbursed for Administrative Activities associated with providing and ensuring students, and their families, have access to appropriate health care, via the Medi-Cal program.
LEA Billing

The LEA Medical Billing Option allows school districts to be reimbursed for health services at fee-for-service rates. Providers submit claims for each service they provide to a student. These services must be in the IFSP/IEP and deemed medically necessary. We can submit claims for Assessments, Treatments, or Direct Services. Direct service providers are typically the School Psychologist, Speech Language Pathologist, Nurse, Social Worker, Counselor, and Audiologist. Some transportation may also be reimbursed. This program requires extensive documentation and reimbursed monies are restricted dollars.
 
Random Moment Time Survey

After a Centers for Medicaid Services (CMS) state audit, CMS felt a new MAA program would be more statistically valid for Local Education Agencies. Random Moment Time Survey (RMTS) will most likely take the place of the five day worker log in capturing Medi-Cal Administrative Activities. RMTS is said to be more statistically valid as it chooses participants, at random, to answer three questions, based on a specific minute in time, to explain what they are doing, who they are doing it with, and why they are doing it. The answers to these three questions will be sent to professional coders who will then place the activity in the appropriate code for potential reimbursement. Because this is random, the moment a participant may be given could be during lunch or during an IEP. Also because of the random nature, a participant may never be chosen to complete a moment, but the district would still receive reimbursement for that employee based on a percentage of her salary and the percentage of Medi-Cal students in the district (similar to the invoice process associated with the five day worker log).

We expect a state approved RMTS plan will be in place by 2014-15.