News and Announcements
School Supportive Health Services Program
Preschool Supportive Health Services Program
Updated Questions & Answers are as of December 9, 2016; please click on the link provided to view. To facilitate searching by keywords, the separately issued Questions & Answers have also been posted in a single document, Combined Questions & Answers.
Updated Handbook 8 is issued as of November 2014. Please note this updated handbook should replace any guidebook you are currently using.
Medicaid Alert 16-10 (103 KB) (posted 12/13/16)
Medicaid State Plan Amendments to Continue Certified Public Expenditures Have Been Approved
Medicaid Alert 16-09 (542 KB) (posted 12/9/16)
Questions and Answers to Support Transition to Direct Billing of Preschool/School Supportive Health Services
Medicaid Alert 16-08 (102 KB) (posted 12/8/16)
SSHSP Physical Therapy and Occupational Therapy Evaluation/Reevaluation Current Procedural Terminology (CPT) Code Changes – Interim Process
Medicaid Alert 16-07 (104 KB) (posted 11/8/16)
IEP Ratio Methodology and Reporting Updates
Medicaid Alert 16-06 (1,904 KB) (posted 11/3/16)
ePACES Direct Billing Option for SSHSP
2016 SSHSP CPE/Cost Reporting Training (111 KB) (posted 9/22/16)
SSHSP Relevant Employee Training
Medicaid Alert 16-05 (395 KB) (posted 5/24/16)
Record Keeping Requirements for Special Transportation Services Provided by Contracted Entities
Medicaid Alert 16-04 (223 KB) (posted 5/24/16)
Central New York Regional Information Center (CNYRIC) to Receive Expanded Medicaid Eligibility Data
Medicaid Alert 16-03 (166 KB) (posted 4/11/16)
Transition Schedule and Resources for Direct Billing of SSHSP Claims
Medicaid Alert 16-02 (215 KB) (posted 3/2/16)
SSHSP Claim Processing to Change during 2016-17 School Year
Medicaid Alert 16-01 (125 KB) (posted 1/19/16)
Additional Information on Submission of 2011-12 and 2012-13 Certified Public Expenditure (CPE) Forms to the New York State Department of Health
Medicaid Alert 15-06 (89 KB) (posted 11/25/15)
2011-12 and 2012-13 Certified Public Expenditure (CPE) Claim Submitted to the Centers for Medicare and Medicaid Services (CMS)
Medicaid Alert 15-05 (71 KB) (posted 11/16/15)
Determining the Need for a New York State Office of the Medicaid Inspector General Compliance Program Pursuant to Social Services Law Section 363-d
Medicaid Alert 15-04 (198 KB) (posted 7/22/15)
Clarification on Timely Signatures/Co-signatures for “Under the Direction of” (UDO) and “Under the Supervision of” (USO)
Medicaid Alert 15-03 (89 KB) (posted 3/23/15)
NYS DOH Medicaid Provider Revalidation Process. Your school district or county is required to complete this Medicaid enrollment revalidation process within 90 days of the date of the NYS DOH letter or by no later than May 22, 2015.
Medicaid Alert 15-02 (234 KB) (posted 3/4/15)
Clarification on Medicaid reimbursement for nursing services.
Medicaid Alert 15-01 (161 KB) (posted 1/20/15)
Medicaid state plan amendments for Certified Public Expenditures have been approved.
Medicaid Alert 14-09 (174 KB) (posted 12/23/14)
Random Moment Time Study (RMTS) Moment Expiration Update
Medicaid Alert 14-08 (179 KB) (posted 11/26/14)
Clarification on SSHSP Medicaid Reimbursement for Evaluations
The School Supportive Health Services Program (SSHSP) allows the school district to access Medicaid funding for services that it must provide at the school as part of the normal school day under federal and state education law, it is not a separate program from the rest of Medicaid. If the child needs a service at 9:00 in the evening (or on a weekend), a provider can bill for that service even though the school district billed for a similar service provided at 1:00 in the afternoon.
There is no edit or other systems process that would prevent paying a claim to a Medicaid provider on the same day or even the same month that the school district billed Medicaid for a medical service provided to a Medicaid eligible child.