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GRETCHEN SCHROEDER HEALTHREACH FOR CCHI HealthReach 2012 Medi-Cal Administrative Activities (MAA)

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Presentation on theme: "GRETCHEN SCHROEDER HEALTHREACH FOR CCHI HealthReach 2012 Medi-Cal Administrative Activities (MAA)"— Presentation transcript:

1 GRETCHEN SCHROEDER HEALTHREACH FOR CCHI HealthReach 2012 Medi-Cal Administrative Activities (MAA)

2 What is MAA? Reimbursement from Federal Medicaid for local public expenditures ….when those expenditures support Medi-Cal outreach, access assistance, planning and other MAA activities. HealthReach 2012

3 Administration of MAA CMS Centers for Medicare and Medicaid Services (Federal) Department of Health Care Services (State) Local Governmental Agency (County) Subcontractors- CBOs, F5s, Schools, etc. I I I HealthReach 2012

4 OUTREACH, REFERRAL & ASSISTANCE WITH ACCESS Providing information about the Medi-Cal program and how to apply Making referrals to Medi-Cal covered health services Assisting with the Medi-Cal application Assisting with access to Medi-Cal covered services HealthReach 2012

5 PLANNING & COLLABORATING Planning for, improving and expanding Medi-Cal covered health services Contracting for Medi-Cal services (govt. staff) Coordinating within your own organization and with other organizations to ensure the Medi-Cal covered health needs of your population are met HealthReach 2011 HealthReach 2012

6 What Are Medi-Cal Covered Services? Medi-Cal pays for: Outpatient Clinics Dental Clinics Hospitals Physicians Dentists Optometrists Pharmacists CHDP EPSDT Physical Therapists Psychologists Clinical Laboratories Skilled Nursing Facilities Chiropractors Etc.

7 HealthReach 2012 MAA Does NOT Include: Assisting with access to programs/services that are NOT HEALTH related, such as: WIC Food Stamps Child Care CalFresh Unemployment Assistance Legal Services, etc.

8 MAA Requirements Staff funded with certified public expenditure (CPE) dollars who are performing MAA activities  CPE match funds must be from a (federally allowable) public source (County, school district, FIRST 5). LGA (County) Coordinator willing to work with you on MAA HealthReach 2012

9 Relationship With Your LGA In order to claim MAA, you must work through your county (LGA). Enter in to contracts for the purposes of MAA. Understand all of the State and your LGA’s requirements for claiming MAA. HealthReach 2012

10 MAA Requirements Staff funded with CPE dollars who are performing MAA activities LGA (County) Coordinator willing to work with you on MAA Claim plan listing staff performing MAA Worker logs for staff performing MAA Quarterly invoices based on worker log results and costs of staff HealthReach 2012

11 MAA Claim Plan Who will participate in the time survey What activities those staff will perform Where and When these activities will be performed How staff will participate in these activities HealthReach 2012

12 THE MAA WORKER LOG  Perpetual log of your PAID work time Documents time spent on:  MAA Reimbursable activities  Non-Reimbursable activities  General Administration  Paid Time Off  Matches your daily Time Card Total hours (payroll time), in fifteen minute increments  Your results are used to bill Medi-Cal HealthReach 2012

13 MAA Invoices HealthReach 2012  Submitted quarterly  Have 18 months from the end of the quarter to submit  Uses the MAA time from the worker logs and the eligible MAA costs for that quarter  Usually paid within one year of submission

14 Assessment of Potential MAA Revenue Identify staff or subcontractors who perform MAA Determine how much available public funds are used for those personnel costs Ascertain percentage of time dedicated to MAA Assisting with the Medi-Cal Application Medi-Cal Outreach Assistance with transportation to Medi-Cal services Factor associated staff costs by time percentages to determine potential MAA revenue HealthReach 2012

15 MAA Reimbursement Calculation Eligible Staff Costs ($100,000) X % of claimable activities (10%) X FFP (50%) = $5,000 MAA reimbursement HealthReach 2012

16 Thank You Gretchen Schroeder HealthReach


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