News and Announcements

Confidential Disclosure Policy

The New York State School Supportive Health Services Program Compliance Agreement, entered into on July 20, 2009, by the New York State Department of Health (DOH), the New York State Education Department (SED) and the New York Office of the Medicaid Inspector General (OMIG) requires that the State and local school districts shall establish a confidential disclosure mechanism enabling employees to disclose anonymously any practices or billing procedures, deemed by the employee to be inappropriate, to the State's Compliance Officer. An employee of the SED, DOH, or any local school district, including New York City and, with respect to the Preschool Supportive Health Services Program, any county in the State, who believes that any practice or billing procedure related to Medicaid reimbursement of School or Preschool Supportive Health Services is inappropriate, may send information concerning such practice or billing procedure in writing to the State Compliance Officer by U.S. mail, courier service, email or facsimile transmission. Note that review and follow up will not be undertaken with respect to oral disclosures.

Rose Firestein
Compliance Officer
New York State Department of Health
Office of General Counsel
90 Church Street, 4th Floor
New York, New York 10007
Telephone: 212/417-4393
Facsimile: 212/417-4392
ref01@health.state.ny.us

Please view the entire Confidential Disclosure Policy at the link below.

Confidential Disclosure Policy - pdf icon (132 kb)(posted 10/23/09)
Description of disclosure process.
Commitment to Compliance - pdf icon (77 kb)(posted 10/23/09)
State's commitment to comply with all laws and regulations related to the receipt of Medicaid funding.


Mandatory Medicaid Compliance Programs Powerpoint Presentation PowerPoint Icon (1.85 MB); pdf version pdf icon (1.09 MB) (posted 10/23/09)
Elluminate Webinar Session presented on 10/22/09
Mandated Compliance Provider Program presented on 10/22/09 by Robert Hussar, First Deputy, State of New York Office of Medicaid Inspector General.
(When you click on webinar link, you will need to choose 10/23/09 on the calendar in order to view this session.)


Medicaid Alert #09-3 (posted 7/29/09) pdf version pdf icon (35.27 KB)
Changes in NYS SSHSP/PSHSP

Medicaid Alert #09-2   pdf version  pdf icon  (35.27 KB) (posted 5/5/09)
Increase in the Federal Share of Medicaid

Medicaid Alert #09-1   pdf version PDF Link  (34.83 KB) (posted 2/24/09)
TCM & Special Transportation Claims Moratorium

Medicaid Alert #08-7   pdf version PDF Link (30.58 KB) (posted 10/14/08)
Special Transportation Claims Moratorium


Medicaid Billing by a School District or County does not jeopardize Medicaid Billing by any other Medicaid Provider.

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.

Last Updated: November 6, 2009