Medi-Cal Administrative Activities (MAA) Training

Report
Medi-Cal
Administrative
Activities (MAA)
GRETCHEN SCHROEDER
HEALTHREACH FOR CCHI
HealthReach 2012
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.
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Administration of MAA
CMS
Centers for Medicare and Medicaid Services (Federal)
I
Department of Health Care Services (State)
I
Local Governmental Agency (County)
I
Subcontractors- CBOs, F5s, Schools, etc.
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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
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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 2012
HealthReach 2011
What Are
Medi-Cal Covered Services?
Medi-Cal pays for:
• Outpatient Clinics
• EPSDT
• Dental Clinics
• Physical Therapists
• Hospitals
• Psychologists
• Physicians
• Clinical Laboratories
• Dentists
• Skilled Nursing
• Optometrists
Facilities
• Chiropractors
• Etc.
• Pharmacists
• CHDP
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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.
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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
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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.
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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
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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
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
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MAA Invoices
 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
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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
MAA Reimbursement Calculation
Eligible Staff Costs ($100,000)
X
% of claimable activities (10%)
X
FFP (50%) =
$5,000 MAA reimbursement
HealthReach 2012
Thank You
Gretchen Schroeder
HealthReach
510-501-2767
[email protected]
HealthReach 2012

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