Medi-Cal Administrative Activities (MAA) Training
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Transcript Medi-Cal Administrative Activities (MAA) Training
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
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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
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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
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MAA Reimbursement Calculation
Eligible Staff Costs ($100,000)
X
% of claimable activities (10%)
X
FFP (50%) =
$5,000 MAA reimbursement
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Thank You
Gretchen Schroeder
HealthReach
510-501-2767
[email protected]
HealthReach 2012