Medical Evaluation

 

Medical evaluation is the recording of chief complaints; present illness; family history; past medical history; personal history; social history; a system review; a complete physical evaluation; the ordering of appropriate diagnostic tests and procedures; and a recommended plan of treatment.

 

To claim for medical reimbursement, providers must abide by the following:

·         A school physical scheduled in accordance with Section 903 of the Education Law may be billed as a medical evaluation under the Medicaid billing code 5310 for a student suspected of having a disability if the medical examination was used in the IEP process.

·         The medical evaluation must have been provided by a NYS licensed and registered physician, nurse practitioner (according to the Nurse Practice Act) or a registered physician assistant under the supervision of a NYS licensed physician.

·         Medical evaluations must be signed and dated by a NYS licensed and registered physician, licensed nurse practitioner (according to the Nurse Practice Act) or a registered physician assistant under the supervision of a NYS licensed physician.

·         School districts/§4201 schools/counties must incur a cost for the evaluation in order to claim Medicaid.

·         The evaluation must be part of the IEP process.

The licensure/certification credentials of the professionals should be kept on file.

 

Codes and Fees:

 

SSHSP (NYC)  Fee     

5301

$ 160

SSHSP (Rest of State) Fee

5301

$ 130

PSHSP Individual & Center based (NYC) Fee

5310

$ 190

PSHSP Individual & Center based (Rest of State) Fee

5310

$ 155

 

NOTE:  SCHOOL DISTRICTS MAY NO LONGER CLAIM A MEDICAL EVALUATION FOR A PHYSICIAN'S, NURSE PRACTITIONER’S OR A REGISTERED PHYSICIAN’S ASSISTANT’S SIGN-OFF ON ALL RELATED SERVICES INDICATED ON THE STUDENT'S IEP.