News and Announcements
School Supportive Health Services Program
Preschool Supportive Health Services Program
Medicaid Alert 14-06 (103 KB) (posted 10/20/14)
- Physical, Occupational, and Speech Therapy Claims Now Require Modifiers. This Medicaid Alert replaces Medicaid Alert #14-04, Clarification of Medicaid Claim Form and Supporting Documentation Requirements: Billing PT and OT Services.
Medicaid Alert 14-05 (113 KB) (posted 10/20/14)
SSHSP Medicaid Cost Report Update. Access to the Annual Medicaid Cost Report for dates of service between July 1, 2013 and June 30, 2014; and reopening of the Annual Medicaid Cost Report for dates of service from October 1, 2011 through June 30, 2012 and July 1, 2012 through June 30, 2013.
- As a result of Medicaid Alert 14-03, the Current Procedural Terminology (CPT) Codes or Handout 5 have been updated and must be used for Medicaid billing of school supportive health services rendered on and after August 1, 2014.
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.