Contra Costa County Office of Education

In 1989, Congress enabled school districts to claim federal funds for health related services they provide to students enrolled in Medicaid. Districts can seek reimbursement from Medicaid for these services as long as the district is a Medicaid provider and meets requirements regarding licensure, certification, and other federal mandates for the Medicaid program.

 

Another federal law, the Individuals with Disabilities Education Improvement Act commonly known as IDEA, authorizes federal reimbursement for health related services specified in a Medicaid-eligible child’s IEP.

 

Medicaid is called Medi-Cal in California. California established its Local Education Agency (LEA) Billing Option Program in 1993 and it’s Medical Administrative Activities Program (MAA) in 1994.

 

These two distinct Medi-Cal programs have the responsibility to recover costs from the federal government to offset the expenses of existing programs and to fund supplemental health and human services:

 

The Contra Costa County Office of Education provides support for the School-Based Medi-Cal Administrative Activities (SMAA) program. This reimbursement program can support your continued efforts in providing effective and quality health programs for students.

The Contra Costa County Office of Education has been involved in the School-Based Medi-Cal Administrative Activities (SMAA) program since 1999.

 

The County Office is the host entity for the Bay Region (Region 4) Local Educational Consortium (LEC) statewide SMAA program. Region 4 is based on the California County Superintendent Educational Services Association (CCSESA) regions and serves Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo and Solano counties.

 

The SMAA program allows school districts and county offices to be reimbursed federal dollars for costs incurred while performing certain administrative activities. 

 

Administrative activities that facilitate enrollment into Medi-Cal and assisting students and families to access Medi-Cal services such as:

 

Allowable costs may include the salaries and benefits of the staff performing the activities, applicable operating expenses, and appropriate overhead expenses. SMAA is a Federal Financial Participation (FFP) program, which requires a non-federal match. Approved SMAA costs are reimbursed at fifty percent (50%). Revenue is unrestricted!

 

For more information on the School-Based Medi-Cal Administrative Activities Program please visit the Department of Health Care Services (DHCS) website.