Medi-Cal Reimbursement and Compliance Program
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. School Medicaid programs are administered by the federal Centers for Medicare and Medicaid (CMS) and the California Department of Health Care Services (DHCS).
Medicaid is called Medi-Cal in California. California established its Local Education Agency (LEA) Medi-Cal Billing Option Program in 1993 and its Medi-Cal Administrative Activities (MAA) Program in 1994.
The LAUSD Medi-Cal Reimbursement office operates both programs and has the responsibility to recover costs from the federal government to offset the expenses of existing programs and to fund supplemental health and human services.
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