State Education Department Seal

Office of Operations and Management Services
Medicaid Services Unit
Room 514 Education Building West
Albany NY 12234
Fax: 518-402-5047

Hal Matott, Coordinator


Medicaid Claiming/Billing Handbook

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A printable version of  Handbook #6 (updated 9/15/07) (including appendices) is available.  The complete Handbook is 135 pages.  It has been formatted for double-sided printing. 

Please note:  Periodically, corrections (updates) will need to be made to the Handbook.  The date of those corrections (updates) will be noted next to the Handbook section hyperlink and the actual correction (update) will be noted within the text of the section.  Deleted text will have a line drawn through it and corrected (updated) text will be underlined.     

The Handbook is in Adobe Format (.pdf format).   Click here to download a free version of Adobe Reader.   

To print a section of the handbook, select the print option from the Adobe menu, not your browser menu.  

If you wish to view or print specific sections of handbook #6, click on the appropriate topic below (listed in order of appearance).

                      

Handbook #6: Cover Letter  - pdf              Cover Letter - html

Handbook #6: Significant Changes - pdf              Significant Changes - html

Handbook #6: Table of Contents - pdf              Table of Contents - html

Handbook #6: Process:

         Introduction - pdf              Introduction - html
         Claiming Process - pdf              Claiming Process - html  
         Flowchart of Process - pdf              Flowchart of Process - html
         Med Bio No Match/CIN - pdf              Med Bio No Match/CIN - html
         Adjust/Void Process - pdf              Adjust/Void Process - html
         Delete Transaction - pdf              Delete Transaction - html
         HIPAA/FERPA - pdf              HIPAA/FERPA - html
         Prov Agrmt/Reassignment - pdf              Prov Agrmt/Reassignment - html
         Documents Req Summary -pdf              Documents Req Summary - html

Handbook #6 - Services:

         Speech Therapy - pdf  (updated 2/6/07)            Speech Therapy - html  (updated 2/6/07)
         Physical Therapy - pdf              Physical Therapy - html
         Occup Therapy - pdf              Occup Therapy - html  (updated 10/17/05)
         Psych Counseling -pdf (updated 2/6/07)               Psych Counseling - html  (updated 2/6/07)
         Skilled Nursing Services - pdf              Skilled Nursing Services - html

Handbook #6 - Evaluations:

          Basic Psychological - pdf(updated 2/6/07)              Basic Psychological - html(updated 2/6/07)
          Comp Psychological - pdf (updated 2/6/07)             Comp Psychological - html (updated 2/6/07)          
          Medical - pdf              Medical - html
          Medical Specialist - pdf              Medical Specialist - html               
          Audiological - pdf               Audiological - html

Handbook #6 - Special Trans. - pdf(updated 2/6/07)            Special Trans. - html (updated 2/6/07)

Handbook #6 - Targeted Case Mgmt - pdf              Targeted Case Mgmt - html  (updated 11/14/05)

Handbook #6 - Charts:

           2006 Claim/Bill Calendar - pdf             2006 Claim/Bill Calendar - html  (updated 1/05/06)
           Claiming Fees - pdf              Claiming Fees - html
           Claiming Frequency - pdf              Claiming Fees - html
           Documentation Charts - pdf  (updated 2/6/07)            Documentation Charts - html (updated 2/6/07)

Handbook #6 - Appendices:

        Appendix A - General Definitions/Memos -pdf    (updated 2/6/07)

           Appendix A - General Definitions/Memos - html   (updated 2/6/07)

 

           Appendix B - Skilled Nursing - pdf

           Appendix B - Skilled Nursing - html

           Appendix C - Sample Forms:

                         Provider Agreement - pdf

                         Provider Agreement - html

 

                         Statement of Reassignment -pdf

                         Statement of Reassignment - html

 

                         Consent for Release of Information - pdf  
                         Consent for Release of Information - html
 
                         Monthly Service Report Form - pdf  
                         Monthly Service Report Form - html
 
                         Annual/Monthly Service Report Form - pdf
                         Annual/Monthly Service Report Form - html
 
                        Certification of UDO and Accessibility (Speech) - pdf (updated 2/6/07)
                        Certification of UDO and Accessibility (Speech) - html (updated 2/6/07)
 
                        Ongoing Service Coordination Notes - pdf
                        Ongoing Service Coordination Notes - html
 
                        Sample Daily Log (Nursing) - pdf
                        Sample Daily Log (Nursing) - html
 
                        Skills Checklist (Nursing) - pdf
                        Skills Checklist (Nursing) - html
 
                        Individualized Health Care Plan (Nursing) - pdf
                        Individualized Health Care Plan (Nursing) - html
 

         Appendix D - Medicaid Reports - pdf

           Appendix D - Medicaid Reports - html

 

           Appendix E - Error Messages - pdf

           Appendix E - Error Messages - html

 

           Appendix F - Exceptions to School Districts Claiming Medicaid
                               
Reimbursement for Certain Eligible Services - pdf
(updated 8/10/06)

           Appendix F - Exceptions to School Districts Claiming Medicaid

                                Reimbursement for Certain Eligible Services - html (updated 8/10/06)

 

           Appendix G - List of Medicaid Contacts:

                    

                    New York State Contacts - html  (updated 2/15/07)

                    RIC Contacts - html  (updated 2/15/07)