Training

School Supportive Health Services Program
Preschool Supportive Health Services Program

Year One Training Material

PowerPoint presentation (updated September 2010) titled “SSHSP/Medicaid in Education Training on Compliance Agreement, Written Compliance Policies and Program Update”

Handouts:

1.   Provider Qualifications and Documentation Requirements Sept 2013 Medicaid Qualified Providers and Medicaid Documentation Requirements (205 KB) (posted 9/19/13)
2.   Under the Direction of”/”Under the Supervision of” (15.4 KB)
3.   Session Notes and Progress Notes Session & Progress Notes (60.31 KB)
4.   Initial entry into SSHSP  (101.00 KB)
(explains when evaluations are Medicaid reimbursable)
5.   Current Procedural Terminology (CPT) codes (77.08 KB)

  • As a result of Medicaid Alert 13-09, the Current Procedural Terminology (CPT) Codes or Handout 5 was revised. These will become effective for dates of service on or after 9/1/13. Please click this link view the updates. Current Procedural Terminology (CPT) Codes handout 5 updated august 5 2013 (318 KB) (REVISED-posted 8/19/13)

6.   2013 Special Transportation Rates 2013 transportation rates august 5 2013 (142 KB) (REVISED-posted 8/19/13)
7.   SSHSP Billing/Claiming Guidance (82.53 KB)

Explanations:

  1. PowerPoint presentation – This training presentation reviews the Compliance Agreement, the OMIG Compliance Program and the State Plan Amendment (SPA) 09-61. Changes resulting from SPA 09-61 primarily surround provider qualifications and the billing methodology for SSHSP.
  2. Provider Qualifications and Documentation Requirements – This detailed chart identifies the initial requirements and approved Medicaid service providers for each evaluation and service under SSHSP, and clarifies required Medicaid documentation. 
  3. “Under the Direction of”/”Under the Supervision of” – This document provides definitions of “Under the Direction of” (UDO) and “Under the Supervision of” (USO), and includes a chart outlining which providers must receive UDO/USO and who may provide UDO/USO.
  4. Initial entry into SSHSP – This flow chart explains when evaluations are Medicaid reimbursable.
  5. List of Current Procedural Terminology (CPT) codes – This document is organized by service type.  It contains approximately 100 CPT codes to be used for all dates of service 9/1/2009 and forward.  For each CPT code there is a description, special notes if applicable, session time/units, and the 2010 payment rate. 
  6. Special Transportation Rates - Effective 9/1/2009, Special Transportation will be billed on a one-way basis. For example, if the student is picked up and brought home, two one-way rates are billed as long as all other Medicaid requirements are met.  There are separate rates for school-aged and preschool students. 
  7. Session Notes and Progress Notes – This document provides definitions of session notes (a Medicaid requirement) and progress notes (a requirement under the Individuals with Disabilities Education Act).  The required elements of a session note are listed. 
  8. SSHSP BILLING/CLAIMING GUIDANCE – This document includes a chart which explains in date-order the documentation requirements for billing Medicaid.  It also explains which billing process is to be used (rate code/monthly billing or CPT code/encounter-based billing).
Last Updated: September 19, 2013