1. JEOPARDY!
Desiree Aragon Kings County

2. TCM
CMAA
SMAA
MHMAA
TIME
SURVEY
MIX &
MATCH
200
200
200
200
200
200
400
400
400
400
400
400
600
600
600
600
600
600
800
800
800
800
800
800
1000
1000
1000
1000
1000
1000

3. TCM 200
Case Management services that assist Medi-Cal eligible individuals with specified Target Populations to gain access to needed medical, social, educational, and other services
Category Targeted Case Management (TCM)

4. TCM 200
What is TCM?
Category Targeted Case Management (TCM) ?
End

5. County-Based MAA 200
Participating agencies are reimbursed for their work in linking, connecting, and coordinating services for the benefit of their clients, rather than being direct providers.
Category Medi-Cal Administrative Activities (MAA)

6. What is County Based MAA?
Category Medi-Cal Administrative Activities (MAA) ?
End

7. School-Based MAA 200
This program offers a way for Local Governmental Agencies (LGAs) and Local Educational Consortia (LECs) to obtain federal reimbursement for the cost of certain administrative activities necessary for the proper and efficient administration of the Medi-cal Program.
Category Medi-Cal Administrative Activities (MAA)

8. What is School-Based MAA?
Category Medi-Cal Administrative Activities (MAA) ?
End

9. Mental Health MAA 200
County Mental Health Plans (MHPs) may claim federal reimbursement for the cost of administrative activities that support the Medi-Cal program.
Category Medi-Cal Administrative Activities (MAA)

10. What is Mental Health MAA?
Category Medi-Cal Administrative Activities (MAA) ?
End

11. Time Survey 200
The approved method to determine the percentage of costs that are allocable to each administrative activity or TCM service claimed by the LGA or LEC.
Category MAA/TCM Time Survey

12. What is a Time Survey? Time Survey 200 Category MAA/TCM Time Survey ?
End

13. Mix & Match 200
An entity that enters into an agreement (contract, lateral agreement, Memorandum of Agreement or Understanding) with the LGA to perform MAA.
Category TCM and/or MAA

14. What is a subcontractor?
Mix & Match 200
What is a subcontractor?
Category TCM and/or MAA ?
End

15. TCM 400
Individuals performing Targeted Case Management (TCM) and who meet the qualifications as outlined in the California State Plan and the California Code of Regulations (22 CCR §51272).
Category Targeted Case Management (TCM)

16. What are TCM Case Managers?
Category Targeted Case Management (TCM) ?
End

17. County-Based MAA 400
When CMS approved the currently used ‘County-Based Medi-Cal Administrative Activities Program Operational Plan’
Category Medi-Cal Administrative Activities (MAA)

18. What is May 2013? County-Based MAA 400
Category Medi-Cal Administrative Activities (MAA) ?
End

19. School-Based MAA 400
A process used to identify the number of Medi-Cal eligible students enrolled in a claiming unit and used as the basis to calculate their Medi-Cal percentage.
Category Medi-Cal Administrative Activities (MAA)

20. What is a DHCS Tape Match?
School-Based MAA 400
What is a DHCS Tape Match?
Category Medi-Cal Administrative Activities (MAA) ?
End

21. Mental Health MAA 400
This item came out dated October 1,2016 as the program guide for Mental Health MAA.
Category Medi-Cal Administrative Activities (MAA)

22. What is the MH MAA Implementation Plan?
Mental Health MAA 400
What is the MH MAA Implementation Plan?
Category Medi-Cal Administrative Activities (MAA) ?
End

23. Time Survey 400
Method mentioned in OMB A-87 that collects moments performing activity for allocation to programs. 2,401 moments are held to be statistically valid for any size 'population'.
Category MAA/TCM Time Survey

24. What is a Random Moment Time Survey/Study (RMTS)?
Category MAA/TCM Time Survey ?
End

25. Mix & Match 400 Medi-Cal Outreach
Facilitating the Medi-Cal Application
Referral Coordination and/or Monitoring
Non-Emergency, Non-Medical Transportation
Category TCM and/or MAA

26. What are the four main MAA activities?
Mix & Match 400
What are the four main MAA activities?
Category TCM and/or MAA ?
End

27. TCM 600 Children under the age of 21 (14 CH)
Medically Fragile Individuals (15 FA)
Individuals at Risk of Institutionalization (16 IR)
Individuals in Jeopardy of Negative Health or Psycho-Social Outcomes (17 NO)
Individuals with a Communicable Disease (18 CD)
Category Targeted Case Management (TCM)

28. What are TCM Target Populations?
Category Targeted Case Management (TCM) ?
End

29. County-Based MAA 600
Volunteers who receive no compensation for their work.
Staff positions funded 100% by non-allowable matching fund federal dollars.
Category Medi-Cal Administrative Activities (MAA)

30. What are Ineligible CMAA Participants?
County-Based MAA 600
What are Ineligible CMAA Participants?
Category Medi-Cal Administrative Activities (MAA) ?
End

31. School-Based MAA 600
A legal agreement composed by educational professionals, with input from the child's parents, for students identified as disabled in accordance with IDEA requirements. This agreement guides, coordinates, and documents instruction that is specially designed to meet the student's unique needs.
Category Medi-Cal Administrative Activities (MAA)

32. What is a Individualized Education Plan (IEP)?
School-Based MAA 600
What is a Individualized Education Plan (IEP)?
Category Medi-Cal Administrative Activities (MAA) ?
End

33. Mental Health MAA 600
The State requires each Mental Health Provider to submit one of these for each of it’s MH MAA claiming units for each MH MAA activity the agency will be performing.
Category Medi-Cal Administrative Activities (MAA)

34. What are MH MAA Claim Plan Activity Sheets?
Mental Health MAA 600
What are MH MAA Claim Plan Activity Sheets?
Category Medi-Cal Administrative Activities (MAA) ?
End

35. The guideline for this is:
Time Survey 600
The guideline for this is:
0 – 99
Each Work Day
100 – 199
20 Consecutive Work Days
200 – 399
10 Consecutive Work Days
400 +
5 Consecutive Work Days
Category MAA/TCM Time Survey

36. What is the Time Survey Frequency Requirements?
Category MAA/TCM Time Survey ?
End

37. Mix & Match 600
These public funds are appropriated directly to the State or local Medicaid agency, or are
transferred from other public agencies (including Indian tribes) to the State or local
agency and under its administrative control,
or certified by the contributing public agency as representing expenditures eligible for FFP under this section.
Category TCM and/or MAA

38. What is Certified Public Expenditure Revenue?
Mix & Match 600
What is Certified Public Expenditure Revenue?
Category TCM and/or MAA ?
End

39. TCM 800 These services include:
Comprehensive Assessment and Periodic Reassessment
Development and Periodic Revision of Specific Care Plan
3. Referral and Related Activities
Monitoring and Follow-up Activities
Category Targeted Case Management (TCM)

40. What are Service Components?
TCM 800
What are Service Components?
Category Targeted Case Management (TCM) ?
End

41. This is the deadline to make changes to your CMAA Claim Plan.
County-Based MAA 800
This is the deadline to make changes to your CMAA Claim Plan.
Category Medi-Cal Administrative Activities (MAA)

42. What is the end of the prior quarter?
County-Based MAA 800
What is the end of the prior quarter?
Category Medi-Cal Administrative Activities (MAA) ?
End

43. School-Based MAA 800
Represent all LEAs, Special Education Local Program Area (SELPA), charter school, or County Offices of Education).
Category Medi-Cal Administrative Activities (MAA)

44. What is a SMAA Claiming Unit?
School-Based MAA 800
What is a SMAA Claiming Unit?
Category Medi-Cal Administrative Activities (MAA) ?
End

45. Mental Health MAA 800
A comprehensive package and agency sends to DHCS and must be approved by DHCS in order to participate in the MH MAA claiming process.
Category Medi-Cal Administrative Activities (MAA)

46. What is a MH MAA Claiming Plan?
Mental Health MAA 800
What is a MH MAA Claiming Plan?
Category Medi-Cal Administrative Activities (MAA) ?
End

47. Time Survey 800
This must be shown on the time survey form to the nearest 15 minute increment.
Category MAA/TCM Time Survey

48. How is time recorded on the MAA/TCM Time Survey?
Category MAA/TCM Time Survey ?
End

49. Mix & Match 800
Part of an LGA, such as a public agency or private community based organization (CBO) contracted to an LGA to perform MAA or TCM, whose costs can be segregated as a separate budget unit.
Category TCM and/or MAA

50. Mix & Match 800
What is a Claiming Unit?
Category TCM and/or MAA ?
End

51. TCM 1000
Due November 1st each year, this financial document estimates the current reimbursement rate, and reconciles the prior year’s encounter rate.
Category Targeted Case Management (TCM)

52. What is the TCM Cost Report?
Category Targeted Case Management (TCM) ?
End

53. County-Based MAA 1000
A questionnaire required to be completed for each Skilled Professional Medical Personnel (SPMP) involved in an agency’s CMAA program.
Category Medi-Cal Administrative Activities (MAA)

54. What is the CMAA SPMP Questionnaire?
County-Based MAA 1000
What is the CMAA SPMP Questionnaire?
Category Medi-Cal Administrative Activities (MAA) ?
End

55. School-Based MAA 1000
The governing body of any school district or community college district, the County Office of Education, a state special school, a California State University campus, or a University of California campus.
Category Medi-Cal Administrative Activities (MAA)

56. What is a Local Educational Agency (LEA)?
School-Based MAA 1000
What is a Local Educational Agency (LEA)?
Category Medi-Cal Administrative Activities (MAA) ?
End

57. Mental Health MAA 1000 Medi-Cal Outreach (Activity 4)
Medi-Cal Eligibility Intake (Activity 6)
Referral in Crisis Situations for Non-Open Cases (Activity 8)
Category Medi-Cal Administrative Activities (MAA)

58. What are the three main activities in MH MAA?
Mental Health MAA 1000
What are the three main activities in MH MAA?
Category Medi-Cal Administrative Activities (MAA) ?
End

59. Time Survey 1000
Participants who complete a daily or perpetual time survey are not required to complete this with two written descriptions of activities during the Time Survey period.
Category MAA/TCM Time Survey

60. What is a time survey activity description document?
Category MAA/TCM Time Survey ?
End

61. Mix & Match 1000
Document describing all of the current duties and responsibilities assigned to a specific position and how they relate to MAA. Includes the position classification, LGA name, submission date and the program or claiming unit name.
Category TCM and/or MAA

62. What is a Duty Statement?
Mix & Match 1000
What is a Duty Statement?
Category TCM and/or MAA ?
End

63. Thank You
We hope this review has been helpful. Please feel free to check out the LGA Consortium website at
If you would like to learn more about your program, the following workgroups offer year round information and opportunities:
CMAA Guidelines
Financial Management
MHMAA
Probation CMAA
SMAA
TCM Guidelines
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