1. Administrative Activities Program Update
Medi-Cal
Administrative Activities Program Update
TPAC
May 10, 2018

2. Background
Medi-Cal – California’s Federal Medicaid health care program. Provides free or low cost insurance for income disadvantaged
County Based Medi-Cal Administrative Activities (CMAA) Program – Assists in the administration of the Medi-Cal program by improving the availability and accessibility of Medi-Cal service to Medi-Cal eligible individuals
Non-Emergency Medical Transportation services, such as paratransit, are eligible for reimbursement
CMAA program is administered by L.A. County Department of Public Health
Background:
Medi-Cal is California’s Medicaid health care program. Medi-Cal provides free or low cost insurance for adults, children and persons with disabilities who are on limited income.
There is a program within Medi-Cal called County based Medi-Cal Administrative Activities Program or MAA for short. The MAA program assist Medi-Cal recipients by improving the availability of Medi-Cal services to eligible individuals.
One type of program that qualifies is Non Emergency Medical Transportation. As the ADA complementary paratransit provider, it can ben assumed that Access is currently providing NEMT to some Access customers who are currently on Medi-Cal program.
The MAA program is administered by the L.A. County Dept. of Public Health

3. Background
CMAA Program is a potential source of revenue for the agency
Other transit agencies in Southern California participate:
San Diego Metropolitan Transit System (SDMTS)
Riverside Transit Agency (RTA)
Gold Coast Transit in Ventura County
OmniTrans in San Bernardino County
Agencies are eligible to receive a percentage of costs back from the federal government for transporting Medi-Cal eligible individuals to Medi-Cal covered services
Given that NEMT services are eligible, the MAA program can be a potential source of revenue for the agency
In fact, other transit agencies in Southern California already participate. These are:
San Diego Metropolitan Transit System
Riverside Transit Agency
Gold Coast Transit in Ventura County, and
more recently OmniTrans in San Bernardino County
The MAA program allows agencies to receive a percentage of the costs back from the federal government for transporting Medi-Cal eligible individuals to eligible services.

4. Program Development
Received Board Approval on May 23, 2016 to start collecting Medi-Cal ID Numbers from new/renewal applications
Draft MOU received in March 2018
Potential reimbursement up to several million per year
Staff has been working with a consultant and County staff for at least two years.
Staff received Board Approval on May 2016 to start collecting Medi-Cal Id numbers from new/renewal applications
Last month, Access staff received the Draft MOU from the County to participate in the program.
Potential reimbursement is up to several million dollars per year.

5. Next Steps
On-going discussions with County staff to implement necessary processes to ensure Access is reimbursed for eligible trips
Access to ask for Medi-Cal ID numbers when a customer calls to make a reservation
Staff will cross check pickup/drop-off address to ensure it is a Medi-Cal eligible facility
Continue discussion with County to finalize the contract. Billing and Auditing procedures
Direct Call Takers to ask for Medi-Cal Id numbers at the time of a reservation
Cross check pickup/drop-off address to ensure it is for a Medi-Cal eligible service

6. Board Recommendation
April 23 Board Meeting - Authorized staff to negotiate and execute a contract with the County of Los Angeles through June 30, 2020
Just to summarize:
Staff is requesting Board authorization to “ Authorize staff (read slide)