My MAA Codes: Adaptive P.E. Teacher
Code 1: Direct 1‐1 School Related/Educational Activities
Delivering assessments
Delivering treatment
• Attending IEP and completing the meeting process, obtaining signatures as well as all educational or academic discussions
• Writing assessment results and reporting them at IEP
•Performing routine or mandated screenings •Providing therapy/lessons
•Providing direct clinical or treatment services •Includes preparing related reports
*Even though you work in the health field and deal with the health issues of students, your credentialing is that of a regular teacher, not restrictive.
*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 Camp & Sports Physicals (Medically Necessary Interperiodic Health Assessments – MNIHA)
o Resource guides that list Doctors, Dentists, ENT’s, OT’s, PT’s, etc.
o Substance Abuse Services
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
• These referrals have substance behind them and are not for routine first aid or other general health care issues. • Examples of Medi‐Cal providers (either within the school
system or outside):
o Psychologists/Mental Health Counselors
o Speech Therapists, Audiologists
o Nurse, Health Clerks/Assistants
o OT’s and PT’s
o Doctors, Surgeons, Internists
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 is 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 and can be
individually made or made in a team setting such as IEP or SST. It is not necessary for you to know the
My MAA Codes: Adaptive P.E. Teacher
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 made an initial referral for a student receiving adaptive PE services to the OT/PT for further testing due to noted
physical changes during therapy.
2. I referred a student to an orthopedist for an initial examination for noted physical changes during therapy.
3. I distributed information about Medi‐Cal/Healthy Families during an SST meeting to a family.
4. I distributed information on non‐mandated CHDP physicals and providers to students for possible Medi‐Cal referral.
5. I distributed flyers to students that included a list of local health clinics that accept Medi‐Cal.
6. I referred a family to an orthopedic surgeon for an initial evaluation of an injured student.
7. I distributed initial local information on how to access Medi‐Cal health providers and resources in our area to assist
parents with medical help.
8. I informed families on how to effectively access, use, and maintain participation in all health services resources under
the Medi‐Cal/Healthy Families program.
9. I coordinated trainings to help schools improve the delivery of Medi‐Cal covered services.
10. I referred a student/family to Medi‐Cal programs for initial health services to properly identify a medical condition.
11. I referred a student to an internist for an initial sport related physical.
12. I made an initial referral for a student to the dietician for a health evaluation.
13. I made an initial referral to the doctor for a student’s physical health concerns and a possible Medi‐Cal referral.
14. I referred a student to doctor for an initial physical examination due to difficulties noted in the student.
15. I made an initial student referral to a Medi‐Cal covered substance abuse program for intervention and treatment.
16. I made an initial student referral to Medi‐Cal services through the EPSDT program to evaluate health concerns.
17. I referred a student with a severe injury to a medical clinic for initial evaluation and a possible
Medi‐Cal/Healthy Families referral.
18. I gathered health information for a meeting to discuss health concerns noted in a student with a referral for Medi‐
Cal/Healthy Families.
19. I participated in a training that enhanced the early identification, intervention, screening, and referral of students
with special health needs to Medi‐Cal services.
20. I coordinated a training that enhanced the early identification, intervention, screening, and referral of students with
special health needs to Medi‐Cal services.
21. I attended a meeting where new OT services were added to a student’s plan.
22. I attended a meeting where new PT services were added to a student’s plan.
23. During an SST meeting, I made an initial referral for a family to the doctor for health concerns and a possible Medi‐
Cal referral.
24. I attended an SST meeting where the Medi‐Cal covered health issue and concerns of a student were discussed with
the speech therapist, nurse and school psychologist and initial referrals were made for Medi‐Cal health services.
25.
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.
My MAA Codes: Adaptive P.E. Teacher
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 • 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
• 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 8Please 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 for determining treatments
o Gathering multi‐disciplinary materials to determine treatments
o Reviewing any information for purpose of determining treatments
• Coordinating a plan for providing therapy services: o Consultations and collaborations with teachers,
parents, and other professionals
o Putting accommodations into place • 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."
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?
My MAA Codes: Adaptive P.E. Teacher
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 the OT/PT about the ongoing referral made for OT/PT treatment services.
2. I consulted with the teacher and OT about Medi‐Cal services being provided to a student to help coordinate the
student’s treatment plan.
3. I worked with the OT and PT on the physical health options of a student per the Medi‐Cal services received in the IEP
in order to ensure the effectiveness of the treatment.
4. I discussed the ongoing OT/PT services being provided to a student in a meeting with the parents and teacher in
order to coordinate all services under the treatment plan in the IEP.
5. I monitored the Medi‐Cal related physical health needs of a student and followed up with the OT/PT so that noted
changes to the treatment plan could be made.
6. I discussed the treatment plan of a student with the OT/PT to coordinate the ongoing health services being delivered
to the student through the IEP.
7. I reviewed the progress of a student’s occupational/physical therapy and followed up with the OT/PT on the services
being delivered.
8. I coordinated the OT/PT services for student during a SST meeting and followed up with the OT/PT provider.
9. I followed up with parents about the identified reactions of a student’s medical condition per the student’s
individualized health care plan in coordination with the Occupational Therapist.
10. A group met to review a student’s occupational therapy for next year.
11. I attended an IEP meeting, where we discussed the ongoing physical therapy services for a student with the OT,
speech therapist, school psychologist, and school nurse.
12. I attended an IEP meeting where Medi‐Cal covered services were discussed and coordinated with the parents,
speech therapist, OT, and school psychologist.
13. I monitored the health needs of a physically handicapped student in coordination with OT/PT per the Medi‐Cal
services received in the IEP.
14. I monitored a student’s physical therapy services and coordinated with the OT/PT provider.
15. I monitored the student’s health services in coordination with the special education teacher and followed up with
the school nurse.
16. I met with the school nurse and followed up on the student referral to health services to address ongoing health
concerns.
17. I followed up with the school nurse regarding a referral for the evaluation of a student and the Medi‐Cal covered
health services the student will be receiving.
18. I met with the school nurse to follow up on the health services being delivered to a student.
19. I spoke with the parents to coordinate information requested by a physician to provide Medi‐Cal covered health
services to student.
20. I followed up with the PT regarding a student’s Medi‐Cal physical therapy services being delivered.
21. I followed up with the parents regarding a student’s health service s being delivered in coordination with the school
nurse.
22. I followed up with the school nurse on health services options and enhancements for the Medi‐Cal covered services
of a student.
23. I coordinated with the OT/PT to maintain Medi‐Cal health services for a physically handicapped student to ensure the
effectiveness of the treatment.
24. I assisted a student in medical crisis to maintain access to Medi‐Cal programs and services.
25. I assisted a family in crisis to maintain access to their ongoing Medi‐Cal programs and services.
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.
My MAA Codes: Adaptive P.E. Teacher
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 duties 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 provider covered by Medi‐Cal?
Code 12 Examples of Good Samples
1. I arranged for a translator to call a parent about a student’s hearing aids.
2. I arranged for a translator to inform a parent about a referral made for adaptive PE and OT/PT services.
3. I arranged for a translator to assist on a student’s OT/PT care plan at an IEP meeting.
4. I arranged for adaptive PE and OT/PT forms to be translated for a parent conference.
5. I arranged for a translator to help with forms for a student’s individualized health care plan with the school nurse.
6. I helped arrange for a translator during parent conferences to discuss a student’s health issues and concerns and
how they relate to the Medi‐Cal covered services.
7. I translated for the occupational therapist during an IEP meeting for non‐English speaking parents.
8. I translated for the school nurse during an IEP meeting for a student’s managed 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.
My MAA Codes: Adaptive P.E. Teacher
Code 14: Interagency meetings that help to develop or assess new Medi‐Cal services
for district (
Non‐student specific, group efforts not individual efforts
)
Program
Planning, Policy Development
Interagency
Coordination
• Developing interagency advisory or 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
• Evaluating the need for Medi‐Cal services in relation to specific populations or geographic areas *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. During a work group, we developed new a Medi‐Cal resource guide to make a good faith effort to locate and identify
health services resources.
2. I attended an interagency work group of health professionals within the County to provide an overview of Medi‐Cal
care services being delivered in schools and to identify addition Medi‐Cal health services resources.
3. I attended an interagency coordination meeting with different agencies that provide Medi‐Cal services to expand
access to and improve collaboration around referring students with identified medical problems.
4. During a collaborative meeting, we developed strategies to increase OT/PT services in schools.
5. During an interagency meeting, we identified gaps in Medi‐Cal services provided to students and developed
strategies to improve the delivery and coordination of these health services.
6. During a committee meeting, we developed procedures for tracking families’ requests for medical or health services
assistance with Medi‐Cal covered services and providers.
7. We coordinated with other interagency committees to identify, promote, and develop CHDP services in the school
system.
8. At the LEA Collaborative meeting we discussed how to use Medi‐Cal revenue to expand Medi‐Cal covered health
services for students and families.
9. I met with Medi‐Cal providers to determine their availability to ensure our district’s students will have access to
Medi‐Cal services.
10. I worked with the health center discussing available medical programs that we can offer to students and families that
may not have medical insurance.
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.
My MAA Codes: Adaptive P.E. Teacher
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:
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.
Questions to ask yourself in order to capture all of your MAA time
Did I take any paid time off today?Did I supervise any staff today?
Did I complete 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.
4. During a staff meeting, we reviewed MAA related activities and how to code for them on time survey forms.
5. I was off due to paid sick leave.
6. I was out due to jury duty.
7. I was out all week for maternity leave.
8. I was off due to a paid personal necessity.
9. I supervised a student teacher, including performance reviews.
10. During a staff meeting, we reviewed school policies, procedures, and rules.
11. I attended a board meeting to gain knowledge in district procedures.
12. During MAA week, I was away from the school campus at a non‐educational conference.
13. 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.