New York State Education Department (NYSED)
Preschool/School Supportive Health Services Program (SSHSP)
Medicaid in Education
Issue #18-02
To: | All SSHSP Medicaid Providers |
From: | NYS DOH OHIP SSHSP & NYSED Medicaid in Education Unit |
Date: | June 14, 2018 |
Subject: | Claiming Window for SSHSP Medicaid Claims Extension |
The purpose of this Alert is to inform SSHSP providers of a temporary extension of the SSHSP claiming window from 12 months to 18 months from the date of service, effective for services provided on and after July 1, 2017. SSHSP providers are authorized to use delay reason code 3 for initial submission of claims that are more than 90 days, but no more than 18 months, from the date of service beginning with July 1, 2017.
The billing window is being extended to accommodate providers as they are implementing other strategies for obtaining student CINs. DOH and SED continue work on a systematic approach for identifying student CINs for SSHSP billing purposes.
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, the NYS Education Department, Medicaid Unit at medined@nysed.gov, or your local Regional Technical Support and Assistance Contact.