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.

Updated Medicaid Claiming Calendar (REVISED-posted 5/24/16) for 2016 is posted in the Resources section.

Medicaid Alert 16-10 medicaid alert 16-10 medicaid state plan amendments to continue cpe have been approved (103 KB) (posted 12/13/16)
Medicaid State Plan Amendments to Continue Certified Public Expenditures Have Been Approved

Medicaid Alert 16-09 Medicaid Alert 16-09 SSHSP Direct Billing Questions and Answers posted December 9 2016 (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 Medicaid Alert 16-08 Interim Process for PT and OT CPT Codes (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 medicaid alert 16-07 dated november 8 2016 is about iep ratio methodology and reporting updates for sshsp (104 KB) (posted 11/8/16)
IEP Ratio Methodology and Reporting Updates

Medicaid Alert 16-06 2016 SSHSP CPE Cost Reporting Training for Relevant Employees (1,904 KB) (posted 11/3/16)
ePACES Direct Billing Option for SSHSP

2016 SSHSP CPE/Cost Reporting Training 2016 SSHSP CPE Cost Reporting Training for Relevant Employees (111 KB) (posted 9/22/16)
SSHSP Relevant Employee Training

Medicaid Alert 16-05 MA Alert 16-05 (395 KB) (posted 5/24/16)
Record Keeping Requirements for Special Transportation Services Provided by Contracted Entities

Medicaid Alert 16-04 MA 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 medicaid alert 16-03 explains the transition schedule and resources for direct billing. posted april 11 2016 (166 KB) (posted 4/11/16)
Transition Schedule and Resources for Direct Billing of SSHSP Claims

Medicaid Alert 16-02 medicaid claims processing change set for school year 16-17 (215 KB) (posted 3/2/16)
SSHSP Claim Processing to Change during 2016-17 School Year

Medicaid Alert 16-01 medicaid alert 16-01 cpe form submission (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 cpe claim submitted to cms medicaid alert 15-06 dated 11-24-15 (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 15-05 medicaid alert omig compliance program and sshsp (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 medicaid alert 15-04 clarification on timely signature and co-signature for uso and udo (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 medicaid alert 15-03 nys doh medicaid provider revalidation process-march 23 2015 (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 medicaid alert 15-02 clairificaiton on medicaid reimbursement for nursing services in sshsp (234 KB) (posted 3/4/15)
Clarification on Medicaid reimbursement for nursing services.

Medicaid Alert 15-01 15-01 cpe statement plan amendment approved outside of nyc (161 KB) (posted 1/20/15)
Medicaid state plan amendments for Certified Public Expenditures have been approved.

Medicaid Alert 14-09 MA Alert 14-09 RMST Moment Expiration Updated (174 KB) (posted 12/23/14)
Random Moment Time Study (RMTS) Moment Expiration Update

Medicaid Alert 14-08 medicaid alert 14-08 clarifies reimbursements for evaluations (179 KB) (posted 11/26/14)
Clarification on SSHSP Medicaid Reimbursement for Evaluations

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: December 16, 2016