Medi-Cal Billing Reimbursement

  • San Juan Unified School District, in cooperation with the California Department of Health Care Services, has a program to allow the district to be reimbursed with federal Medicaid dollars for selected health services (such as assessments and treatments) provided to eligible students at school. In accordance with Local Education Agency rules and guidelines, student records may be forwarded to the district's billing agency.

    Our vendor holds a contract with the district that contains a specific confidentiality clause to ensure information is not disclosed inappropriately; further, our vendor is HIPAA compliant (Federal Health Insurance Portability and Accountability Act). School health services currently provided to all students will not be changed by this program. Student will not be denied services they require to attend school and parents will never be billed for services by San Juan Unified School District.


    School-Based Medi-Cal Administrative Activities (SMAA)

    The SMAA program reimburses school districts for the federal share (50%) of the certain costs for administering the Medi-Cal program. Those activities include: Outreach and Referral; Facilitating the Medi-Cal Application; Arranging Non-Emergency/Non Medical Transportation; Program Planning and Policy Development; and MAA Claims Coordination.

    For more information on the program, click here.


    Local Educational Agency Medi-Cal Billing Option

    The Local Educational Agency (LEA) program provides the federal share of reimbursement for health assessment and treatment for Medi-Cal eligible children and family members within the school environment. An LEA provider (generally a school district or county office of education) employs or contracts with qualified medical practitioners to render certain health services.


    For more information on the program, click here.
Last Modified on May 7, 2020