News and Announcements

School Supportive Health Services Program
Preschool Supportive Health Services Program

Updates have been made to some Questions & Answers as of February 11, 2015; 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.

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

Handbook 8 is currently posted. Please note this updated handbook should replace any guidebook you are currently using.

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 Alert 14-07 MA Alert 14-7 deadline extension for cost reports for western region impacted by snow storm (88 KB) (posted 11/21/14)
SSHSP Medicaid Cost Report Update Deadline Extension Opportunity

The 2015 Medicaid Claiming Calendar is now posted in the Resources section.

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: March 24, 2015