New SMAA Manual Approved

Earlier today, DHCS announced that CMS has prospectively approved the 2014/15 SMAA Manual that includes the new Random Moment Time Study (RMTS) methodology. The approval letter (located here) identifies a number of specific tasks that will need to be accomplished by...

Deferred Invoice Deadline

The deadline for resolving the deferred invoices that were paid on the CMS 64 for the quarters ending December 2011, March 2012, and June 2012 is September 30, 2014, and for September 2012 the deadline is October 31, 2014.  DHCS states that while a timeline has been...

DHCS Announces Official Transition to RMTS

Earlier this week, the Department of Health Care Services announced that the decision has been made to proceed with the implementation of the revised SMAA plan effectiveJuly 1, 2014.  The plan was submitted to the Centers for Medicare and Medicaid Services for their...

RTC Review Process

According to an update from DHCS, the Reasonableness Test Criteria (RTC) review process is moving forward. DHCS states that they have been able to approve a number of RTC submissions and submit them for payment.  Unfortunately, after consulting with the CMS, many of...

2014/2015 SMAA Statewide Claiming Plan

On  Monday June 16, DHCS submitted a revised draft of the 2014/2015 SMAA Claiming Plan to the CMS for review and approval. DHCS will inform all Stakeholders of the result of the CMS review as soon as the information becomes available. In addition, DHCS posted the...