For more than 20 years, Relay has helped districts in California navigate the LEA Medi-Cal Billing Option Program (LEA BOP). In addition to supporting clients with traditional school-based Medicaid billing, Relay is now supporting clients with documentation and billing for the CYBHI program in California. With software configured to the unique needs of California districts, Relay helps you save time with streamlined service logging and data integrations that reduce double entry.
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“Since switching over to Relay we have significantly increased our Medicaid reimbursements. Additional sources of potential revenue were immediately brought to our attention by the Relay team, which offered additional reimbursement options that our previous vendor failed to share with us. The additional funds received has allowed us to provide programs and services to students with disabilities that previously were unavailable.”
Robert Mancusi
Director of Special Education
Dedicated California Medi-Cal specialists provide guidance on compliance, claiming strategy, and program updates — helping districts maximize reimbursement while staying aligned with DHCS requirements.
Relay syncs with SEIS, SIRAS, PowerSchool, and other district systems to pull the data needed for compliant Medi-Cal claiming — minimizing manual entry and improving data accuracy.
Real-time dashboards give visibility into service capture, claim status, reimbursement trends, and provider performance.
Relay supports ORP workflows and the Cost Reimbursement Comparison Schedule (CRCS), saving staff time while strengthening compliant claiming practices.
• Health and Mental Health Evaluation or Education
• Audiology Services
• Nursing Services
• Nutrition Services
• Occupational Therapy
• Physical Therapy
• Speech Therapy
• Vision Assessments
• Orientation and Mobility
• Physician Services
• Psychology and Counseling
• Respiratory Care
• School Health Aide
• Transportation
• Targeted Case Management
California Medi-Cal program pays for medically necessary services for Medicaid-eligible children under age 21 (included birth to three). The billing providers are the Local Education Agencies (LEAs), including school districts, county offices of education, charter schools. Individual rendering providers are not required to enroll in Medicaid to bill, and LEAs are required to ensure that only qualified rendering providers are providing services.
Supervision Sign Off Needed
Modifiers on Procedure Codes Needed
Prescriptions Needed
Telehealth
Free Care Expansion
Please fill out the form below if you are interested in talking to one of our team members about bringing Relay to your state. We will aim to answer all requests as soon as possible.
*This information is based upon review of publicly available documents as of 2021 and is subject to change at any time. This information should not be considered as legal or compliance advice. Contact individual states or Relay to verify Medicaid program requirements.
Healthy Students, Promising Futures “Free Care” Rule
https://healthystudentspromisingfutures.org/free-care-rule/Healthy Students, Promising Futures Map: School Medicaid Programs:
https://healthystudentspromisingfutures.org/map-school-medicaid-programs/#0School-Based Medi-Cal Administrative Activities:
https://www.dhcs.ca.gov/provgovpart/Pages/SMAA.aspx