My MAA Codes: Therapists (OT/PT, Speech)
Code 2: Direct 1‐1 Medical Services
Delivering Assessment
Delivering Treatment
• Performing assessments
• Writing assessments results and reporting them at IEP
• Attending IEP and completing the meeting process, obtaining signatures as well as all educational or academic discussions
• Performing routine or mandated screenings • Providing direct clinical or treatment services • Providing therapy
• Includes preparing related reports
*Include all time devoted to paperwork, clerical activities, and staff travel necessary to perform this activity.
Code 4:
Initial
efforts getting individuals to Medi‐Cal (Health) Services
*Remember, any service that can be covered by Medi‐Cal in the private sector is a Medi‐Cal service, including those provided in the school setting.
*Include all time devoted to paperwork, clerical activities, and staff travel necessary to perform this activity including initiating and responding to e‐mail and voicemail.
*These activities must be a normal part of your job duties and not performed only during time survey weeks.
Outreach
Referral
• Informs and links eligible or potentially eligible individuals to Medi‐Cal programs and services • Assists in accessing these programs
• Examples of Medi‐Cal services:
o Medi‐Cal/Healthy Families Program o CHDP Program
o Clinics & Hospitals
o Resource guides that list Doctors, Dentists, ENT’s, OT’s, PT’s, etc.
o Substance Abuse Services
o Camp & Sports physicals (Medically Necessary Interperiodic Health Assessments (MNIHA) o Family Planning
o EPSDT Program
o Pre‐natal and Well Baby Care
o Family Planning health education outreach program or campaign (specific to Medi‐Cal services)
o PACT – Family Planning, Access, Care and Treatment Program (family planning
reproductive health clinical services program) o Outreach trainings that improve delivery of
Medi‐Cal services
• Directly referring individuals to Medi‐Cal (health) providers
o These referrals have substance behind them and are not routine first aid or other general health care issues
• Examples of Medi‐Cal providers (either within the school
system or outside):
o Psychologists/Counselors o Speech Therapists, Audiologists o Nurse, Health Clerks/Assistants o OT’s and PT’s
o Doctors, Surgeons, Internists, ENT’s o Dentists, Orthodontists
o Personal Care Service Providers o Pharmacies, Pharmacists o Social Workers with appropriate
credentials/licenses
• Referrals are based on each new referral to a
provider not to an individual being referred: o A student receiving mental health counseling
services and then being referred to a speech therapist would be a new referral
o It is based on each new service • Referrals can be direct (1‐1 referral), indirect
(1‐1‐1), verbal or written, formal
or informal as well as individual or group efforts (SST meetings, IEP meetings) and it is not necessary to know the outcome/results of the referral for it to be code 4.
My MAA Codes: Therapists (OT/PT, Speech)
Questions to ask in order to capture all of your MAA time
Did I make an initial referral of a student to receive any health services such as speech therapy, mental health counseling, occupational therapy, school nursing, medical or dental services?
Did I make an initial referral of a student to any other type of (Medi‐Cal) health provider for other (Medi‐Cal) health services? Did I participate in or coordinate outreach trainings to improve the delivery of Medi‐Cal services?
Did I consult with any other staff members regarding a student's initial health or mental health referral?
Did I refer a student to a health care provider for a sport related physical, Pre Natal/Well babies, Family Planning, Access, Care & Treatment (PACT) program or to a substance abuse program?
Did I attend or participate in any school meetings, such as SST, IEP or SARB, where an initial health or mental health referral was made?
Did I provide any written/oral/ formal or informal Medi‐Cal outreach information to parents or the school community about the Medi‐Cal Program or Medi‐Cal covered health services?
Code 4 Examples of Good Samples
1. I referred a student to the school nurse for an initial physical examination.
2. I made an initial referral of a student to the school nurse for a non‐mandated hearing examination. 3. I referred a family to Medi‐Cal/Healthy Families to assist with obtaining hearing aids.
4. I referred a student to the OT for an initial physical examination.
5. I referred a student to the speech therapist for an initial speech evaluation. 6. I referred a student for initial mental health evaluation/services.
7. I made an initial referral for a student to the dietician for a health evaluation. 8. I made an initial referral for a student to the internist for a sport related physical. 9. I referred my high school student to a Medi‐Cal family planning clinic.
10. I contacted a teenager and made an initial referral to Medi‐Cal prenatal and well‐baby care services. 11. I made an initial referral for a student to a Medi‐Cal covered substance abuse program for intervention and
immediate drug and alcohol counseling services.
12. I attended a meeting where new speech therapy services were added to a student’s plan. 13. I attended a meeting where new OT services were added to a student’s plan.
14. During a SST meeting, I referred a student to the school nurse for a initial non‐mandated vision and hearing evaluation.
15. During an IEP meeting, I made an initial referral of a student to the Ears, Nose and Throat Specialist for possible vocal nodules.
16. During a parent conference, I referred a family to the school psychologist for an initial mental health evaluation. 17. During an SST meeting, I referred a family to the doctor for initial health concerns.
18. During an IEP meeting, I referred a student to the doctor for an initial physical examination.
19. During a parent meeting, I referred a student to the dentist for an initial, non‐mandated dental evaluation. 20. I reviewed health folders and speech inserts to assist with the processing of a Medi‐Cal referral for a student to
speech services.
21. I worked on an initial referral of a student to Medi‐Cal covered speech services. 22. I worked on an initial referral of a student to Medi‐Cal covered OT services.
23. I distributed information about Medi‐Cal/Healthy Families to parents during IEP meeting to help with an initial health services referral.
24. I distributed information about where to find local Medi‐Cal providers to parents during a conference, which included contact information.
25. During an IEP, I informed families on how to effectively access and maintain participation in all health resources under the Medi‐Cal/Healthy Families program.
26. I worked on an initial referral for a student to possible Medi‐Cal covered speech services. 27. I worked on an initial referral for a student to possible Medi‐Cal covered OT services. 28. I made an initial referral to a counselor for mental health counseling services.
29. I coordinated an interagency training that enhanced the early identification, intervention, screening, and referral of students with special health needs to Medi‐Cal services.
My MAA Codes: Therapists (OT/PT, Speech)
Code 4 Examples of Good Samples
continued
31. I provided information to a family of the California Children’s Services (CCS) to access Medi‐Cal.
Note: The Examples of Good Samples sections are designed to provide you with "examples" of samples that are written in a way that would be acceptable for the respective MAA codes. Please DO NOT COPY these samples word for word for use on your MAA time survey form. Your samples should be in your words and NOT an exact replication of the "examples" provided within this document.
Code 8: Managing
known
Medi‐Cal/health issues, concerns and services
(
student specific
)
Ongoing Referrals
Coordination and Monitoring
• Follow‐up to any referral made for health services
o Steps taken to make sure that referral process is being met:
• Includes additional paperwork or information • Includes follow‐up phone calls or emails • Includes follow‐up meetings such as:
a.Follow‐up to initial SST’s b.Annual IEP meetings c.Parent conferences
o Providing follow‐up contact to ensure that a child has received the prescribed
medical/dental/mental health service
o Coordinating the completion of the prescribed services, termination of services and the referral of the child to other Medi‐Cal service providers as may be required to provide continuity of care o Follow‐up to any health outreach that was
provided
• Follow‐up to an initial referral made from a mandated service
o Steps taken to make sure that you are outside of the mandated services:
• The mandated service must be administered first and completed
• The first referral from the mandated service must have already been made
• Any and all subsequent referrals made after this point are reimbursable through code 8
Please also use this code for managing health concerns of your students, including coordinating with case managers when dealing with mental health/physical health/dental health/and substance abuse issues. These activities must be outside of and not linked to your direct services.
• Determining needs:
o Gathering information related to student issues in advance of referrals
o Gathering multi‐disciplinary materials to aid in advance of referrals
o Reviewing any information for purpose of aiding in advance of referrals
• Developing a plan for providing therapy services:
o Consultations and collaborations with teachers, parents, and other professionals
o Putting accommodations into place
o Arranging for the scheduled therapy services to be received by the student
o Making arrangements with the parents for health services to be received by the student
• Reviewing progress of students:
o Determining if current plan is effective o Making changes to current treatment plan o Reviewing information to track progress
o Evaluating effectiveness of treatment/equipment, etc.
• Meetings:
o IEP’s, SST’s, parent conferences, or any meeting that deal with Medi‐Cal (health) services of the student. Only the parts of the meeting that deal with Medi‐ Cal (health) services including discussions,
implementation, monitoring and coordination. (See code 2 IEP activities to distinguish between these two codes).
o 504 plans and meetings are not reimbursable activities through MAA
*Include all time devoted to paperwork, training, clerical activities, or staff travel necessary to perform these activities, including initiating and responding to e‐mail and voicemail.
*These activities must be a normal part of your job duties and not performed only during time survey weeks.
*Case Managers participating in the LEA Medi‐Cal Billing Option for IEP case management cannot claim MAA Referral, Coordination and Monitoring. Staff should claim time under code 2, Direct Medical Services as TCM billing includes Referral, Coordination and Monitoring.
My MAA Codes: Therapists (OT/PT, Speech)
Questions to ask in order to capture all of your MAA time
Did I follow‐up on a student's ongoing medical health, mental health, substance abuse, speech therapy, occupational therapy, dental or school nursing services with a Medi‐Cal health or mental health provider?
Did I gather any information that may be required in advance of a referral?
Did I provide any follow up contact to ensure that a child received their Medi‐Cal/Mental Health services?
Did I coordinate or monitor ongoing medical health, mental health, substance abuse, speech therapy, occupational therapy, dental or school nursing services?
Did I follow‐up on any referrals made to direct health care or mental health care practitioners?
Did I participate in the coordination of any ongoing health services including, but not limited to, medical health, mental health, substance abuse, speech therapy, occupational therapy, dental or school nursing, which were discussed during (SST, IEP, or SARB) or other school meetings?
Did I arrange or schedule any Medi‐Cal covered CHDP screens, interperiodic screens, non‐mandated immunization or sports physicals that do not include the mandated health services (See My MAA Tips)?
Code 8 Examples of Good Samples
1. I followed up with an Ears Nose and Throat Specialist about a referral made for an examination due to possible vocal nodules.
2. I followed up with the physician about the referral made for a physical examination of a student in need of OT services.
3. I followed up with the school nurse about the referral made for a non‐mandated vision examination. 4. I followed up with school psychologist on a referral made for mental health services for a student. 5. I followed up with the speech therapist on a referral made for speech services.
6. I followed up with the occupational therapist on a referral made for OT services.
7. During a staff meeting, I consulted with other speech therapists to ensure the continuity of speech services for a student.
8. I consulted with another speech therapist to assist with information needed for the referral made for speech services.
9. I consulted with another OT to assist with information needed for the referral made for OT services. 10. I consulted with a teacher about the speech services being provided for a student in order to help achieve a
carryover of new speech habits into the classroom.
11. I consulted with the special education teacher about the OT services being provided for a student in order to help achieve a carryover of the OT plan into the classroom.
12. I worked with a teacher and an administrator on the Medi‐Cal covered speech services delivered to several students and coordinated the services for continuity and effectiveness.
13. I gathered medical materials necessary for the referral made to a physician for a health evaluation for a student. 14. I met with the nurse to follow up on the health services being delivered to a student.
15. I followed up with the parents about the identified reactions of a student’s medical condition per the student’s individualized health care plan.
16. I collaborated with the speech therapist, behaviorist and school nurse about the ongoing mental health needs of a student.
17. I collaborated with the OT, behaviorist and school nurse about the ongoing mental health needs of a student. 18. I spoke with a parent to coordinate the ADD/ADHD survey information requested by their physician to provide
ongoing health services to the student.
19.
I discussed effectiveness of a student’s medication with the parents for an upcoming doctor appointment
and
the need for a further evaluation of Medi‐Cal services.20. I called a parent to review a student’s information with Medi‐Cal provider/doctor because of a recurring medical problem.
21. I spoke with a parent to coordinate information requested by the physician to provide Medi‐Cal covered health services to a student.
22. During an SST meeting, I discussed the speech needs of a student with their parents and teacher, and followed up on a speech therapy referral.
My MAA Codes: Therapists (OT/PT, Speech)
Code 8 Examples of Good Samples
continued
24. A group met to review a student’s OT services for the coming year.
25. During an IEP meeting, I discussed the OT needs of a student with their parents and teacher, and followed up on a referral made to OT services.
26. I monitored the Medi‐Cal related speech concerns of a student and followed up with the teacher after school to help coordinate the student’s speech services.
27. I monitored the Medi‐Cal related OT concerns of a student and followed up with the teacher after school to help coordinate the student’s OT services.
28. During parent conference, I reviewed the progress of a student to determine if the current speech plan is effective and made changes to the current service plan to ensure the effectiveness of the treatment.
29. I reviewed the information of a speech student to track their progress and evaluate the speech plan for the effectiveness of treatment.
30. I reviewed the information of an OT student to track their progress and evaluate the OT plan for the effectiveness of treatment.
31. I assisted a student in medical crisis to maintain access to Medi‐Cal programs and services. 32. I assisted a family in crisis to maintain access to Medi‐Cal programs and services.
33. I monitored student’s health services care plan and coordinated the ongoing Medi‐Cal services with OT/PT to help maintain consistency between treatments.
34. I followed up with a parent regarding a student’s Medi‐Cal covered treatment being received in coordination with school nurse.
35. I discussed a parent’s concerns of the noted side effects of a student’s medical condition with their physician as part of the individualized health care plan.
Note: The Examples of Good Samples sections are designed to provide you with "examples" of samples that are written in a way that would be acceptable for the respective MAA codes. Please DO NOT COPY these samples word for word for use on your MAA time survey form. Your samples should be in your words and NOT an exact replication of the "examples" provided within this document.
Code 12: Activities that deal with the arrangement and actual translation
Arranging or Scheduling for Translation Services
Providing Translation Services
• Translation can be oral and written, including sign language
• Translation needs to be for Medi‐Cal (health) services • Translator must be paid
• Requires that three parties be present • Document could be the third party
• If you translate for yourself it is communication not translation
*Include all time devoted to paperwork, training, clerical activities, or staff travel necessary to perform these activities, including initiating and responding to e‐mail and voicemail.
*These activities must be a normal part of your job duties and not performed only during time survey weeks.
Questions to ask in order to capture all of your MAA time
Did I arrange for any translation services regarding health or mental health issues covered by Medi‐Cal? Did I provide any translation services for any health or mental health services covered by Medi‐Cal?
Code 12 Examples of Good Samples
1. I arranged for a translator to call a parent about a student’s speech services.
2. I arranged for a translator to inform a parent about a referral made for speech services. 3. I arranged for a translator to inform parents about a referral made for OT services. 4. I arranged for a translator for student’s speech issues at an upcoming IEP meeting. 5. I arranged for a translator for student’s OT issues at an upcoming IEP meeting.
6. I scheduled a translator to assist with translating speech forms related to the IEP of a non‐English speaking family. 7. I scheduled a translator to help with translating OT forms related to the IEP of non‐English speaking parents.
My MAA Codes: Therapists (OT/PT, Speech)
Code 12 Examples of Good Samples
continued
8. I translated during a parent conference for the school nurse on the individualized health care plan for a student. 9. I translated for the school nurse during an IEP meeting for non‐English speaking parents.
10. I translated for the school psychologist during an IEP meeting for non‐English speaking parents.
Note: The Examples of Good Samples sections are designed to provide you with "examples" of samples that are written in a way that would be acceptable for the respective MAA codes. Please DO NOT COPY these samples word for word for use on your MAA time survey form. Your samples should be in your words and NOT an exact replication of the "examples" provided within this document.
Code 14: Meetings that help to develop new Medi‐Cal (health) services for district
(
non‐student specific
)
Program
Planning, Policy Development
Interagency
Coordination
• Developing advisory or interagency work groups to provide consultation and advice regarding delivery of Medi‐Cal services to school populations
• Participating in or coordinating training that enhances early identification, intervention, screening and referral of students with special needs to Medi‐Cal services (This is distinguished from IDEA child find programs)
• Interagency collaborations that coordinate and develop new health services in schools
• Looking at gaps in services and attempting to close those gaps with other agencies
• Evaluating the need for Medi‐Cal services in relation to specific populations or geographic areas with other agencies
*Include all time devoted to paperwork, clerical activities, training, or staff travel necessary to perform these activities, including initiating and responding to e‐mail and voicemail.
*These activities must be a normal part of your job duties and not performed only during time survey weeks.
Questions to ask in order to capture all of your MAA time
Did I attend any meetings where Medi‐Cal health services were discussed or gaps were identified to improve or increase the delivery and or coordination of medical health, mental health, substance abuse, speech therapy, occupational therapy, dental, school nursing or other health services?
Did I work with any practitioners or outside agencies to provide or improve Medi‐Cal covered services?
Did I participate in any interagency committees to identify, promote, develop and/or coordinate Medi‐Cal health services? Did I participate in activities that included identifying the need for Medi‐Cal services in relation to specific population or geographical areas?
Did I work with other agencies to expand access to Medi‐Cal health services for specialized groups?
Did I work with other agencies to improve collaboration around the early identification of medical problems?
Code 14 Examples of Good Samples
1. I attended an interagency work group of health professionals to provide an overview of Medi‐Cal services being provided at school and to discuss potential community Medi‐Cal services for students.
2. I attended a work group to coordinate and develop strategies to increase Medi‐Cal covered mental health services in schools.
3. At the LEA Collaborative meeting we discussed how to use Medi‐Cal revenue to expand Medi‐Cal covered health services for students and families.
4. I met with Medi‐Cal providers to determine their availability to ensure our district’s students will have access to Medi‐Cal services.
5. I worked with the health center discussing available medical programs that we can offer to students and families that my not have medical insurance.
6. During a planning meeting, we identified new Medi‐Cal resources to make a good faith effort to locate and develop health service referrals.
7. I attended a coordination meeting with different health care agencies that provide Medi‐Cal services to expand access to and improve collaboration around student referrals and Medi‐Cal services.
My MAA Codes: Therapists (OT/PT, Speech)
Code 14 Examples of Good Samples
continued
8. During an interagency meeting, we developed medical referral sources, including directories of Medi‐Cal providers for parents.
9. During an interagency planning meeting, we developed strategies to increase Medi‐Cal covered mental health services in schools.
10. During a meeting, we identified Medi‐Cal service gaps provided to students and developed strategies to improve the delivery and coordination of these health services.
11. We monitored the medical/mental health delivery systems in schools to determine if our Medi‐Cal services needed to be expanded with County medical and mental health agencies.
12. During an interagency planning meeting, we developed procedures for tracking families’ requests for assistance with Medi‐Cal‐covered services and providers.
13. We evaluated the need for Medi‐Cal data related to our specific program, population, and geographic area to help determine if we have gaps in Medi‐Cal services in our area with other outside agencies.
Note: The Examples of Good Samples sections are designed to provide you with "examples" of samples that are written in a way that would be acceptable for the respective MAA codes. Please DO NOT COPY these samples word for word for use on your MAA time survey form. Your samples should be in your words and NOT an exact replication of the "examples" provided within this document.
Code 16: Other activities related to duties that could be replicated at any job site
Paid
Time Off/MAA form completion
General
Administrative Activities
• Time spent filling out MAA forms online
• Time spent reading materials to help fill out MAA forms
• Sick leave • Maternity leave • Jury duty
• Personal necessity
• The purpose of this code is to capture administrative
duties that are more specific to general
administrative/clerical activities related to facilities, district functions and operations. Include here:
o General supervision of staff or facilities, including staff performance reviews
o Reviewing non‐instructional school policies, procedures, or rules
o Attending or facilitating school or unit staff meetings, board meetings or required in‐service trainings and events
o Completing personal mileage and expense claims
*Include all time devoted to paperwork, clerical activities, training, or staff travel necessary to perform these activities, including initiating and responding to e‐mail and voicemail.
*These activities must be a normal part of your job duties and not performed only during time survey weeks.
Questions to ask in order to capture all of your MAA time
Did I complete my MAA time survey form?
Did I review training materials to complete my MAA time survey form? Did I take any paid time off today?
Did I supervise any staff today?
Did I complete any personal mileage or expense claims? Did I attend a board meeting?
Code 16 Examples of Good Samples
1. Each day, I filled out my MAA time survey and reviewed my training materials. 2. I reviewed MAA related activities and how to code for them on my time survey form. 3. I met with the MAA Coordinator to go over my time survey form.
My MAA Codes: Therapists (OT/PT, Speech)
Code 16 Examples of Good Samples
continued
5. I was off on sick leave. 6. I was out due to jury duty.
7. I was out all week for maternity leave. 8. I was out on for personal necessity.
9. During a staff meeting, we reviewed school policies, procedures, and rules. 10. I attended a board meeting to gain knowledge in district procedures.
11. During MAA week, I was away from the school campus at a non‐educational conference. 12. I took time to complete personal mileage and expense claims.
Note: The Examples of Good Samples sections are designed to provide you with "examples" of samples that are written in a way that would be acceptable for the respective MAA codes. Please DO NOT COPY these samples word for word for use on your MAA time survey form. Your samples should be in your words and NOT an exact replication of the "examples" provided within this document.