Welcome to the Department of Health Care Services Welcome to Medi-Cal Welcome to the Department of Health Care Services

Medi-Cal Logo
Click to Sign Up for MCSS emails

Local Educational Agency Free Care Policy Clarification

August 29, 2016

The Local Educational Agency (LEA) Billing and Reimbursement Overview section of the Part 2 provider manual is being updated to reflect the most recent policy direction from the Centers for Medicare & Medicaid Services (CMS) regarding free care policy. Under this direction, Medicaid reimbursement is available for services covered under an approved state plan that are provided to Medicaid recipients, regardless of whether there is any charge for the service to the recipient or the community at large.

Additional updates will be made to Other Health Coverage (OHC) billing and third party liability recoupment processes.