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 3/22/17) for 2017 is posted in the Resources section.

Medicaid Alert 17-03 (HTML) (PDF) (posted 9/14/17)
Temporary Suspension of Random Moment Time Study (RMTS)

2017 SSHSP Memo SSHSP Verificaiton of Medicaid Eligibility and Obtaining CINs (85 KB) (posted 7/10/17)
Verification of Medicaid Eligibility and Obtaining Client Identification Numbers

Medicaid Alert 17-02 Medicaid Alert 17-02 (37 KB) (posted 7/10/17)
Technical Assistance for the SSHSP

Medicaid Alert 17-01 medicaid alert 17-01 CNYRIC claiming and eligibility reports (67 KB) (posted 03/22/17)
Final Submission of Claims to CNYRIC March 30, 2017
Claiming Window for SSHSP Returns to 12 Months
Match and Eligibility Web Reports Available Until June 1, 2017

2017 SSHSP Spring Training Notice april and may 2017 sshsp training notice (112 KB) (posted 03/10/17)
SSHSP Relevant Employee Training, Spring 2017

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

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 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: September 14, 2017