THE STATE EDUCATION DEPARTMENT / THE UNIVERSITY OF THE STATE OF NEW YORK / ALBANY, NY 12234

Medicaid Unit Robert J. Scalise, Coordinator

89 Washington Avenue rscalise@mail.nysed.gov

Room 304 EB

Albany, NY 12234

Phone: (518) 474--3227 Fax: (518) 486-3606

September 2005

TO: District Superintendents

Superintendents of Public Schools

School District Business Officials

Superintendents of State Operated/Supported Schools

Directors of Special Education

SETRC Project Directors and Training Specialists

ECDC Project Directors and Coordinators

New York State Association of Counties

Directors of Regional Information Centers and Regional Computer Centers

County Preschool Administrators

FROM: Robert J. Scalise, Coordinator - Medicaid Services Unit

SUBJECT: Medicaid Claiming/Billing Handbook - (UPDATE #6)

The attached updates to the original Medicaid Claiming/Billing Handbook were developed by the New York State Department of Health (DOH) in conjunction with the New York State Department of Education (SED). This handbook should replace the Medicaid Claiming/Billing Handbook (Update #5) you are now using. Handbook Update #6 is effective September 1, 2005.

This handbook provides a step-by-step outline of the procedures that must be followed when claiming Medicaid. Your designated Regional Information Center (RIC) should be your first line of contact regarding questions, issues and training related to this program.

For instructions on the software that you use to submit your claims, either refer to your software manual or contact your software support person.

You can access this handbook through the Internet. The Web address for the Medicaid Home Page is http://www.oms.nysed.gov/medicaid. You can also access:

· announcements related to claiming and documentation,

· relevant memorandums,

· letters and memorandums sent to the field regarding Medicaid-in-Education, and

· frequently asked questions.

The Announcements link on the website should be reviewed frequently for updated information regarding the implementation of the Medicaid-In-Education program. Any changes that occur after the release of this version of the Medicaid/Billing Handbook will be posted on this site with effective dates for implementation.

If you have any questions regarding the Medicaid Claiming/Billing Handbook or require other information regarding Medicaid claiming, your first contact should be your RIC.

If further clarification is required, you may contact either Steven Wright or me at (518) 474-3227 or Laura Scannevin from DOH at (518) 473-9303. Thank you.