Medi-Cal Administrative Activities (MAA)

1. Medi-Cal Administrative Activities (MAA) Gretchen Schroeder HealthReach for CCHI HealthReach 2012

2. 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. HealthReach 2012

3. 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. HealthReach 2012

4. 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 HealthReach 2012

5. 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

6. What Are Medi-Cal Covered Services? Medi-Cal pays for: • Outpatient Clinics • Dental Clinics • Hospitals • Physicians • Dentists • Optometrists • Pharmacists • CHDP • EPSDT • Physical Therapists • Psychologists • Clinical Laboratories • Skilled Nursing Facilities • Chiropractors • Etc. HealthReach2012

7. 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. HealthReach 2012

8. 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 HealthReach 2012

9. 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. HealthReach 2012

10. 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 HealthReach 2012

11. MAA Claim Plan • Who will participate in the time survey • Whatactivities those staff will perform • Whereand When these activities will be performed • How staff will participate in these activities HealthReach 2012

12. 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 HealthReach 2012

13. 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 HealthReach 2012

14. 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

15. MAA Reimbursement Calculation Eligible Staff Costs ($100,000) X % of claimable activities (10%) X FFP (50%) = $5,000 MAA reimbursement HealthReach 2012

16. Thank You Gretchen Schroeder HealthReach 510-501-2767 g_schroeder@hotmail.com HealthReach 2012