1.1 Overview

The 5-Year Plan Life Cycle

Use the diagram below for a general understanding of the LSP lifecycle from creating a brand new LSP, to closing out the same LSP and starting a new one. Each step in the LSP process is further explained below the diagram.

(A) Year 0: In order to participate in the program, LEAs must submit a Local Services Plan (LSP). For new LEAs, this means that they must obtain and incorporate community input in order to establish the health priorities in the LSP. They must also assess the health care needs of its students, including an assessment of the needs of uninsured and underinsured students. This information will be used with the LEA’s student health advisory committee leading the creation of the LSP to select the health services that will receive Medicaid reimbursement funds and to create LSP goals/objectives. During this process, the CDE SHS Consultant will act as support and provide necessary guidance. 

(B) Year 1: Once the LSP is finalized, it is submitted in June for review. If approved, it will be active July 1 that same year. At this point, the LEA will begin LSP implementation and should inform community stakeholders as needed. If this is the first year of LEA participation in the program, they will receive additional mentorship and support to ensure compliance with the program and timely submission of deliverables like the Reimbursement Spending Report (RSR) to CDE.

(C) Year 2-4: From years 2-4, the LEA will continue to spend according to the LSP, submit necessary deliverables, and review their LSP as needed. Every year, the LEA will submit their RSR deliverable. This report will be reviewed and compared with the LSP to ensure spending is aligned with the plan on file with CDE. The CDE SHS Consultant will reach out if an LSP revision may be needed.

	It is best practice to review your LSP quarterly and adjust via LSP revision if needed. Email the CDE SHS Consultant to start this process. Remember, there are no limits to the number of LSP revision requests, but make sure revisions align with the community identified health priorities.

(D) Year 5: At the start of the 5th and final year of the plan, LEAs will receive an email with an updated template and LSP guidelines. The time recommendation for new LSPs is 10-months. At this point, the LEA Medicaid coordinator will begin the process of creating a new LSP, which includes the steps outlined in (A), and the LSP cycle continues.

	LEAs may find it helpful to begin the creation of a new LSP by reviewing the expiring LSP. This is an advantage not afforded to new LEAs without a plan in place.