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Board approves Medi‑Cal billing agreement after discussion on cost and feasibility
Summary
After trustees pulled Consent Item 12 for discussion, staff explained the district’s use of San Joaquin County Office of Education’s Medi‑Cal billing platform (typical fee 12%, not to exceed $180,000; prior year payout about $149,000). Trustees asked staff to study feasibility of in‑house billing; the board then approved the contract 5-0.
Trustees discussed and then approved the district’s Medi‑Cal billing arrangement during consent calendar consideration on Aug. 13.
Assistant Superintendent Yadira Moreno explained the district uses San Joaquin County Office of Education’s billing platform to simplify provider billing tied to student IEP services (speech, occupational therapy, psychology, counseling and physical therapy). She described the contract terms as a percentage fee (12%) and said the board-approved not‑to‑exceed amount in the item is $180,000; she said last year the district paid about $149,000 under the arrangement.
Trustee Yip, who pulled the item, asked whether in‑house billing might be feasible and requested data to compare in‑house staffing costs versus an outsourced platform. Moreno said the district routinely evaluates providers and platforms to balance fiscal responsibility and staff workload. After discussion and a motion, the board approved the Medi‑Cal billing arrangement; the vote was recorded 5-0.
Next steps: Trustees requested staff return with feasibility information (hours/clients/costs) to evaluate whether in‑house billing or a different vendor would be more cost‑effective in future years.
