What does this mean for your school district? 

Some California districts have recently received notification from the Department of Health Care Services  (DHCS) outlining revenue that has been recouped based on a district's CRCS report results for the 2009-2010 school year.

In addition to this letter a district may also receive a letter from Xerox, the CA LEA fiscal billing agent.

Each LEA is required to submit a CRCS (Cost Reimbursement and Comparison Schedule) to DHCS annually as required in the Local Educational Agency (LEA) Medi-Cal Billing Option Provider Participation Agreement.

Check out the following CRCS tips 

• All LEAs enrolled in the LEA Medi-Cal Billing Option must submit a CRCS report to the Department of Health Care Services.(DHCS)

• DHCS requires that LEA providers must annually certify that the public funds expended for LEA services are eligible for federal financial participation.  

• The CRCS will be used to compare each LEA’s actual costs for LEA services to the LEAs Medi-Cal reimbursement.

• DHCS must also reconcile the interim Medi-Cal reimbursements to LEAs with the actual costs LEAs incur in the course of rendering eligible services.

• The CRCS will be used to compare each LEA’s total actual costs for LEA services with interim Medi-Cal reimbursement rates from the LEA Medi-Cal Billing Option Program Provider Manual for a specific fiscal year.

This will determine if LEAs are owed additional funds to DHCS (recoupment) or if in fact the district is owed additional revenue.

• Your LEA must complete a CRCS for any year that they are enrolled in the LEA Medi-Cal BillingOption Program and eligible to receive Medi-Cal reimbursement. 

• The CRCS is based on the date services are provided, not when the reimbursement is received.

• If your LEA did not receive any reimbursement for services provided during the fiscal year, a report must be submitted that includes zero reimbursement to meet program requirements.

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