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Department of Health Care Services (DHCS )

Department of Health Care Services (DHCS ). CMAA/TCM Time Survey Training Train the Trainers 2013/2014. Module 1. Introduction. Training Outline. Introduction Time Survey Training CMAA Claiming Plan Training CMAA Invoice Training (future training) C MAA Site Review/Audit file Training.

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Department of Health Care Services (DHCS )

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  1. Department of Health Care Services (DHCS) CMAA/TCM Time Survey TrainingTrain the Trainers2013/2014

  2. Module 1 Introduction

  3. Training Outline • Introduction • Time Survey Training • CMAA Claiming Plan Training • CMAA Invoice Training (future training) • CMAA Site Review/Audit file Training

  4. Training Purpose • Introduce the Time Study Methodology Implementation Proposal for California’s Medicaid Administrative Activities (MAA) and Targeted Case Management Programs (TCM) approved May 3, 2013. • Provide Required Annual Training on the revised Time Survey Methodology for the County Based MAA and TCM programs. • Provide an overview of the CMAA Program Operational Plan.

  5. Major Changes • Statistically Valid Time Study Methodology for CMAA and TCM • Parallel Activity Codes for CMAA and TCM • Comprehensive Implementation Plan Describing the CMAA Claiming Process

  6. Claiming Medi-Cal Reimbursement • Federal Financial Participation (FFP) - CMAA • Basic: 50% • Enhanced: 75% (SSA Section 1903 (a)(2); 42 CFR Section 432.50) • Federal Medical Assistance Percentage (FMAP) - TCM • Certified Public Expenditures (PPL 10-007) • Non Duplication Requirements • FFP Exclusions

  7. Resources Department of Health Care Services website: www.dhcs.ca.gov CMAA website: www.dhcs.ca.gov/provgovpart/Pages/CMAA.aspx TCM website: www.dhcs.ca.gov/provgovpart/Pages/TCM.aspx LGA Consortium website: www.maa-tcm.com Patrick Sutton (LGA CMAA/TCM Consultant): lgaconsultant@gmail.com

  8. Questions?

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