Medicaid in Education Alert
New York State Department of Health (DOH), Office of Health Insurance Programs (OHIP)
New York State Education Department (NYSED)
Preschool/School Supportive Health Services Program (SSHSP)
Medicaid in Education

Issue #17-03

To: All SSHSP Medicaid Providers
From: NYS DOH OHIP SSHSP &
NYSED Medicaid in Education Unit
Date: September 14, 2017
Subject: Temporary Suspension of Random Moment Time
Study (RMTS)
pdf file

The purpose of this Alert is to inform SSHSP providers of the immediate suspension of the Random Moment Time Study (RMTS) process associated with certified public expenditures (CPEs). The RMTS is being suspended on a temporary basis for the July 1, 2017 – June 30, 2018 school year. Federal approval by the Centers for Medicare and Medicaid Services (CMS) for CPEs expired on June 30, 2017. The Department of Health has submitted Medicaid State Plan Amendments seeking CMS approval to continue using CPE reimbursement methodology for the SSHSP.

Public Consulting Group, Inc. (PCG), the Department of Health’s contractor, will not be collecting staff pool lists for the cost pools or sending out moment surveys to employees of the school districts/counties this school year. However, SSHSP providers must continue to maintain quarterly employee staff pool lists and all records (see Guide to Cost Reporting for the Preschool and School Supportive Health Services Direct Service Claiming Programs (SSHSP)) required to support the filing and certifying of an annual cost report for the July 1, 2017 – June 30, 2018 school year. The State anticipates CMS approval to continue CPEs and will issue a Medicaid Alert when CMS reauthorizes CPEs for the SSHSP.

In addition, SSHSP providers will be required to file and certify an annual cost report this December identifying the costs incurred for the July 1, 2016 - June 30, 2017 school year.

If you have any questions or comments regarding this Alert, please contact the NYS Department of Health at (518) 473-2160 or at SSHSP@health.ny.gov or the NYS Education Department, Medicaid Unit at medined@nysed.gov.

Last Updated: September 14, 2017