Board approves Practicale amendment to enable Medi‑Cal billing; district expects reimbursement

May 20, 2026

Trustees approved an amendment to the Practicale Inc. contract to allow district clinicians to bill Medi‑Cal for eligible services. Administration said allowable reimbursement could be about $4.5M against a larger pool of costs; the program is expected to net positive revenue over time.

The full story

The board approved an amendment to the Practicale Inc. agreement to enable district staff (school psychologists, speech and language pathologists and similar clinicians) to bill health insurance and Medi‑Cal for medically billable services. Administration described the billing system, regulatory complexity and an example calculation: roughly $30M in total allowable costs yields an estimated allowable reimbursement near $4.5M for eligible services after cost allocations.

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