LEA Medi-Cal BOP (Local Education Agency Medi-Cal Billing Option Program) - A program for LEAs to bill Medi-Cal for specific health & medical services provided to students and their families in the school setting. Services provided through this program include assessments, treatments, & Targeted Case Management (TCM) & Transportation.
- LEA BOP Provider Manual
- LEA BOP Onboarding Manual
- LEA BOP Terminology Crosswalk
SMAA Program (School-Based Medi-Cal Administrative Activities
Program)- This program reimburses school districts for the
Federal share (50%) costs for administering
the Medi-Cal Program. Activities include: outreach & Referral, facilitating the Medi-Cal application, arranging for non-
emergency/non-medical transportation, program planning
And policy development, and Medi-Cal Administrative
Services (MAA) Claims Coordination.
- SMAA Manual
- RMTS Quick Reference
- RMTS Fact Sheet
MCP (Managed Care Plans)- A health care delivery system that provides services within a defined network of health care providers who are given the responsibility to manage & provide quality, cost-effective health care. MCPs, which may include but are not limited to Health Maintenance Organizations (HMOs), typically receive a prepaid rate for each member enrolled in the plan.
