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District reviews fee‑schedule readiness and emerging wellness‑coach role as wellness‑center funding sunsets
Summary
Staff updated trustees on regional consortium work preparing for 'fee schedule' billing, third‑party administrators under consideration, and an emerging statewide wellness‑coach role that could help sustain some wellness services when current grant funding expires.
Superintendent staff updated the board on participation in a regional consortium to build readiness for a potential multi‑payer fee schedule (billing Medi‑Cal and other payers for eligible school‑based services) and on workforce and service‑delivery implications.
Staff summarized presentations from potential third‑party administrators (TPAs) — including Care Solace, MBT (Medical Billing Technologies), and TADHealth — that would interoperate with regional clearing‑systems and take a percentage fee (staff said TPAs generally take about 5–10 percent of billed revenue). The superintendent noted the district is not currently in an early onboarding cohort and emphasized the importance of parental consent flags and service‑log flows before any billing begins.
On workforce, staff described an emerging statewide wellness‑coach classification being developed by the California Department of Health Care Access and Information (HCAI) together with DHCS; the role would offer a lower‑cost way to staff some prevention and early‑intervention supports when current wellness‑center grant funding ends in 2026. Staff stressed that wellness coaches are not yet billable under fee schedule and that converting existing positions or creating new job descriptions would require negotiation with the classified bargaining unit and later board approval.
