"Native American Tribal Program Time Survey for Employees Performing Medi-Cal Administrative and/or Targeted Case Management" - California

Native American Tribal Program Time Survey for Employees Performing Medi-Cal Administrative and/or Targeted Case Management is a legal document that was released by the California Department of Health Care Services - a government authority operating within California.

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State of California- Health and Human Service Agency
Native American Tribal Program Time Survey for Employees Performing Medi-Cal Administrative and/or Targeted Case Management
SPMP
Name (Last, First, MI)
Job Classification
Employee Number
Claiming Unit
Department
Time Survey Dates
NATIVE AMERICAN TRIBAL PROGRAM ACTIVITY WRITTEN SAMPLES
Code 4
Initial Medi-Cal Outreach: Time spent performing initial activities that inform eligible or potentially eligible individuals about Medi-Cal programs and services and
how to access them. Initial activities would include bringing in potential eligible individuals into the Medi-Cal system for the purpose of determining eligibility and initially
arranging for the provision of Medi-Cal services. Activities may include but are not limited to: Providing initial information about Medi-Cal covered services and how to access,
use and maintain participation in Medi-Cal. Providing initial referral assistance where Medi-Cal services are provided.
Code 6
Facilitating Medi-Cal Eligibility Determiniation (Eligibility Intake): Time spent explaining the Medi-Cal eligibility rules and process, assisting applicants complete
the Medi-Cal Eligibility application and gathering related information, including eligibility determination or re-determination as a prelude to submitting a formal Medi-Cal
application. This activity does not include the eligibility determination itself. Activities may include by are not limited to: Verifying an individual's current Medi-Cal status, staff
traveling to assist in gathering required documents for eligibility determination, or to assist the client in applying in person if required by the State or local jurisdiction, providing
necessary forms and packaging forms in preparation for the Medi-Cal eligibility determination.
Code 8
Ongoing Referral, Coordination & Monitoring of Medi-Cal Services: Time spent making ongoing referrals for coordinating and/or monitoring the delivery of Medi-
Cal-covered services after an initial referral is made. Activities may include but are not limited to: Making referrals for and/coordinating medical or physical examinations and
necessary medical/mental health evaluations. Referring individuals for necessary medical or mental health, or substance abuse services and gathering any information that
may be required in advance of referrals. Providing follow-up contact to ensure the individual received the prescribed medical/mental health services.
Code 10 Arranging Transportation for Medi-Cal Services: Time spent arranging transportation to Medi-Cal-covered services. Activities may include, but are not limited
to: Assisting individuals or families to secure transportation to medical appointments for the delivery of medical services covered by Medi-Cal.
Code 12 Providing Transportation for Medi-Cal Services: Time spent providing or accompanying individuals with transportation to Medi-Cal-covered services. Activity
may include but is not limited to providing non-emergency, non-medical transportation to a medical appointment for the delivery of medical services, or accompanying a client
as an attendant to medical services, if necessary pursuant to 42 CFR 440.170. Attendant may not be a family member.
1
Please refer to the Native American Tribal MAA manual for detailed activity codes if further clarification is needed.
State of California- Health and Human Service Agency
Native American Tribal Program Time Survey for Employees Performing Medi-Cal Administrative and/or Targeted Case Management
SPMP
Name (Last, First, MI)
Job Classification
Employee Number
Claiming Unit
Department
Time Survey Dates
NATIVE AMERICAN TRIBAL PROGRAM ACTIVITY WRITTEN SAMPLES
Code 4
Initial Medi-Cal Outreach: Time spent performing initial activities that inform eligible or potentially eligible individuals about Medi-Cal programs and services and
how to access them. Initial activities would include bringing in potential eligible individuals into the Medi-Cal system for the purpose of determining eligibility and initially
arranging for the provision of Medi-Cal services. Activities may include but are not limited to: Providing initial information about Medi-Cal covered services and how to access,
use and maintain participation in Medi-Cal. Providing initial referral assistance where Medi-Cal services are provided.
Code 6
Facilitating Medi-Cal Eligibility Determiniation (Eligibility Intake): Time spent explaining the Medi-Cal eligibility rules and process, assisting applicants complete
the Medi-Cal Eligibility application and gathering related information, including eligibility determination or re-determination as a prelude to submitting a formal Medi-Cal
application. This activity does not include the eligibility determination itself. Activities may include by are not limited to: Verifying an individual's current Medi-Cal status, staff
traveling to assist in gathering required documents for eligibility determination, or to assist the client in applying in person if required by the State or local jurisdiction, providing
necessary forms and packaging forms in preparation for the Medi-Cal eligibility determination.
Code 8
Ongoing Referral, Coordination & Monitoring of Medi-Cal Services: Time spent making ongoing referrals for coordinating and/or monitoring the delivery of Medi-
Cal-covered services after an initial referral is made. Activities may include but are not limited to: Making referrals for and/coordinating medical or physical examinations and
necessary medical/mental health evaluations. Referring individuals for necessary medical or mental health, or substance abuse services and gathering any information that
may be required in advance of referrals. Providing follow-up contact to ensure the individual received the prescribed medical/mental health services.
Code 10 Arranging Transportation for Medi-Cal Services: Time spent arranging transportation to Medi-Cal-covered services. Activities may include, but are not limited
to: Assisting individuals or families to secure transportation to medical appointments for the delivery of medical services covered by Medi-Cal.
Code 12 Providing Transportation for Medi-Cal Services: Time spent providing or accompanying individuals with transportation to Medi-Cal-covered services. Activity
may include but is not limited to providing non-emergency, non-medical transportation to a medical appointment for the delivery of medical services, or accompanying a client
as an attendant to medical services, if necessary pursuant to 42 CFR 440.170. Attendant may not be a family member.
1
Please refer to the Native American Tribal MAA manual for detailed activity codes if further clarification is needed.
State of California- Health and Human Service Agency
Native American Tribal Program Time Survey for Employees Performing Medi-Cal Administrative and/or Targeted Case Management
SPMP
Name (Last, First, MI)
Job Classification
Employee Number
Claiming Unit
Department
Time Survey Dates
Code 14 Translation Related to Medi-Cal Services: Time spent on translation (not included and paid for as part of a medical assistance service), to assist the individual to
access and understand necessary care or treatment for Medi-Cal-covered services. Translation must be provided by separate units or separate employees performing
translation functions. Activity may include but is not limited to arranging for or providing translation services (oral and signing) that assist the individual to access and
understand necessary care or treatment for medical services covered by Medi-Cal.
Code 16
Program Planning and Policy Development and Interagency Coordination Related to Medi-Cal Services(PPPD): Time spent on collaborative activities with
other agencies deveolping strategies to improve coordination and delivery of Medi-Cal-covered services by contractor employees or subcontractors whose tasks officially
involve PPPD. This activity's tasks must be specifically identified in the employee's duty statement. Activity may include but is not limited to developing strategies to assess or
increase the capacity of or monitoring the delivery of medical/dental/mental health/chemical dependency counseling. Analyzing Medi-Cal area data related to a specific
program, population or geographic areas.
Code 18 SPMP PPPD Related to Medi-Cal Services: Time spent by expert staff classified as "skilled professional medical personnel (SPMP) when necessary to develop
and/or administer Medi-Cal-covered services that are not medically sound and administratively efficient. This code is applicable only if professional knowledge is needed to
shape the medical aspects of the program. SPMP activities may include but are not limited to: Acting as liaison on medical aspects of the program planning with providers of
services and other agencies that provide medical care. Provide technical assistance on practitioner protocols, including the development of uniform policy and procedures on
the care and treatment of Medi-Cal clients in Tribal health facilities.
Code 19 Medi-Cal Administrative Activities (MAA) Training: Time spent giving or receiving training on MAA and/or how to document relevant activities through the time
survey process. Activity may include but is not limited to: General training on MAA and/or conducting MAA time surveys and training activities. Attending training sessions,
meetings, and conferences involving MAA.
Code 20 Medi-Cal Administrative Activities (MAA) Coordination and Claims Administration: Time spent by Tribal MAA coordinators and claims administrative staff when
performing activities directly related to MAA claims administration and coordination. Activities must be detailed in the claiming plan. Activity may include but is not limited to
drafting, revising and submitting MAA claiming plans, monitoring subcontractor capacity and availability, ensuring compliance with the terms of the contract. Ensuring MAA
claims do not duplicate Medi-Cal claims for the same activities from other programs and managed care plans.
Code 21 General Administration & Paid Time Off: Time spent on activities that cannot be directly assigned to other program activites. This activity is used by all staff
involved in MAA to record usage of paid leave, including vacation, sick leave, holiday time and any other employee time off that is paid. Activity may include but is not limited
to: Attend or conduct general, non-medical staff meetings, develop and monitor program budget, present or participate in in-service orientations and programs, review
departmental or unit procedures and rules.
2
Please refer to the Native American Tribal MAA manual for detailed activity codes if further clarification is needed.
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