LEA Medi-Cal Billing Option

California school districts may receive federal reimbursements when certain health services are provided to Medi-Cal eligible students. Administered by the California Department of Health Care Services, the LEA Medi-Cal Billing Option (LEA) program requires that these services be provided by qualified health care practitioners.


Some of these health care practitioners include:


• Licensed and credentialed speech pathologists

• Credentialed school nurses

• Licensed and credentialed psychologists

• Licensed physicians

• Credentialed school counselors

• Marriage family therapists, licensed clinical social workers

• Registered occupational therapists and licensed physical therapists


Claimable services include:


• Initial/annual/triennial/amended IEP/IFSP evaluations

• Treatments such as speech therapy, psychological counseling, nursing services, specialized healthcare services, audiological therapy

• Targeted Case Management


Since its inception, school district participation in the LEA program has increased dramatically. In 2008-09, California districts received over $103,904,000 in reimbursements.

For complete information regarding the LEA Medi-Cal Billing Option click on the link below: