LEA BOP 101
The LEA BOP reimburses LEAs for these type of services.
What is health-related services?
This is the transmittal number of LEA BOP State Plan.
What is 15-021?
The California Medical Assistance Program’s nickname.
What is Medi-Cal?
The name of the section where the LEA BOP, LEA Ops, and SMAA units resides.
What is School-Based Claiming Services Section?
This company has provided over 20 years of assistance to the LEA BOP.
Who is Guidehouse?
The target population for the LEA BOP.
What is a Medi-Cal Beneficiary under the age of 22?
This new methodology was implemented in July 2020, which captures the amount of time spent providing administrative and direct services.
What is the Random Moment Time Survey?
This benefit provides comprehensive and preventive health care services to enrolled members under the age of 21.
What is the Early and Periodic Screening, Diagnosis, and Treatment benefit?
This is the name the branch that the SBCSS and the CBCISS resides in.
What is the Medi-Cal Claims and Services Branch?
A worksite wellness program that will help achieve your optimal health and wellness goals.
What is Healthier U?
The type of funds used for the LEA BOP.
What are local and federal funds?
This is the newest type of care plan that expanded reimbursements for a population outside of IEPs/IFSPs.
What is the Individualized Health and Support Plan?
This Division within DHCS ensures the fiscal integrity of the health programs administered by DHCS and quality of care provided to the beneficiaries.
What is Audits & Investigations Division?
This is the name the branch that Charles Anders oversees.
What is Behavioral Health Financing Section?
The office that you report to if there is a potential breach.
What is the DHCS Privacy Office?
The process to certify that the public funds expended are eligible for Federal Financial Participation.
What is the cost settlement process?
This is the governing body that requires approval of the state plan.
What is the Centers for Medicare and Medicaid Services?
The appointee to lead the Medi-Cal program for 14 million beneficiaries.
Who is Michelle Baass?
The number of units in the Medi-Cal Claims and Services Branch.
What is 6?
The form that LEA BOP Providers need to complete if they contract out 100% of their practitioners.
What is the Model 2 Certification form?
The traditional method of billing for health services under which a health care provider charges separately for each patient encounter or service rendered.
What is “fee-for-service” model?
This is the portion of the state plan that identifies the payment methodology for LEA Services.
This is the largest agency in California’s executive branch that oversees 13 departments, one being DHCS.
What is the California Health and Human Services Agency?
The Chief Executive Appointment to LGFD.
Who is Brian Fitzgerald?
The federal law that mandates that all children with disabilities have available to them a free appropriate public education that includes special education and related services to meet their unique needs.
What is the Individuals with Disability and Education Act?