News and Announcements
Medicaid Alert 13-04 (38 KB) (posted 4/4/13)
Requirement to Report Ordering/Referring Provider’s National Provider Identifier (NPI) on SSHSP Medicaid Claims
Amendment to Parental Consent Regulation (posted 03/29/13)
Memorandum providing information from P-12 Office of Special Education
2013 SSHSP Training Memo (59 KB) (posted 03/27/13)
SSHSP Relevant Employee Training - Post-Compliance Agreement
Medicaid Alert 13-03 (56 KB) (posted 02/14/13)
SSHSP Cost Report Deadline Extended to March 15, 2013
Amendment to the Parental Consent Regulations (posted 02/13/13)
Medicaid Alert 13-02 (35.1
KB) (posted 02/07/13)
Psychological Evaluation & Counseling CPT Code Changes - Interim Process
Alert 13-01 (184
KB) (posted 02/06/13)
Medicaid Administrative Claiming
Medicaid Alert 12-12 (46 KB) (posted 12/18/12)
SSHSP Cost Report Deadline Extended to February 15, 2013
Medicaid Alert 12-11 (123 KB) (posted 12/12/12)
Medicaid Policy Regarding Written Orders/Referrals Requirement for Preschool/School Supportive Health Services Program (SSHSP)
As a result of Medicaid Alert 12-11, relevant Questions & Answers have been revised to reflect this policy. Please click the link below to view changes.
Questions & Answers
Alert 12-10 (64
KB) (posted 11/6/12)
Requirements for Medicaid Claims with Third Party Health Insurance (TPHI)
Medicaid Alert 12-09 (46 KB) (posted 9/6/12)
NYS Medicaid Update Article "Written Orders Requirement for Preschool/School Supportive Health Services Program (SSHSP)"
Online Compliance Training (posted
Updated to include Phase III Training
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.