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.

Provider Policy and Billing Handbook is issued as of March 2018. Please note this updated handbook should replace any guidebook you are currently using.


Random Moment Time Study (RMTS) Mandatory Training for RMTS Coordinators

Medicaid Alert 18-06 informed SSHSP providers of the resumption on October 1, 2018 of the Random Moment Time Study (RMTS) process associated with certified public expenditures (CPEs). The NYS Department of Health’s contractor, Public Consulting Group, Inc. (PCG) is  conducting RMTS training from September 5, 2018 through September 18, 2018. 

These training sessions will be conducted via WebEx. Time study coordinators or assistant time study coordinators are REQUIRED to attend one of these training sessions. The RMTS training sessions will provide information on coordinator access to the EasyRMTS™ system, instructions on how to navigate the system, and direction on training RMTS participants. The time study coordinators are responsible for ensuring that all their school district participants know how to use the web-based system correctly. 

The EasyRMTS™ system dashboard contains registration links, the coordinator training presentation, coordinator EasyRMTS™ User Manual, and participant training presentation under the “Resources” section. Registration links are also available on the Medicaid in Education training calendar. Please add the meeting you plan to attend to your calendar. Please note that if registering as a group, be sure to list all participant names in the registration so there is a record of  attendance. You will not be able to register for the training until the meeting is started. PCG will open all of the meetings 15 minutes prior to the scheduled start time.    

If you have any questions, please contact PCG via the hotline at 1-866-912-2974 Option 1 or via email at NYSSHSP@pcgus.com.

Medicaid Alert 18-07 (HTML) (10 KB) (posted 8/16/18)
Additional Information on Submission of 2013-14, 2014-15, and 2015-16 Certified Public Expenditure (CPE) Forms to the New York State Department of Health

Medicaid Alert 18-06 (HTML) (8 KB) (posted 8/14/18)
Random Moment Time Study (RMTS) to Resume 10/1/18

Medicaid Alert 18-05 (HTML) (8 KB) (posted 7/30/18)
Status Update on Temporary Suspension of Random Moment Time Study (RMTS)

Medicaid Alert 18-04 (HTML) (12 KB) (posted 7/6/18)
2013-14, 2014-15, and 2015-16 Certified Public Expenditure (CPE) Claims Submitted to the Centers for Medicare and Medicaid Services (CMS)

Medicaid Alert 18-03 (HTML) (41 KB) (posted 6/29/18)
Encounter-based Rate Changes for School Supportive HealthServices Program

Medicaid Alert 18-02 (HTML) (7 KB) (posted 6/14/18)
Claiming Window for SSHSP Medicaid Claims Extension

Medicaid Alert 18-01 (HTML) (9 KB) (posted 1/16/18)
Updated Handout 5 SSHSP Billing Codes

Medicaid Alert 17-05 (HTML) (17 KB) (posted 11/16/17)
Update to Medicaid Alert #16-08: SSHSP Physical and Occupational Therapy Evaluation / Re-evaluation Billing Codes

Medicaid Alert 17-04 (HTML) (18 KB) (posted 10/30/17) 
Certified Public Expenditure (CPE) Cost Report Training

SSHSP Medicaid 101 Training (HTML) (PDF) (posted 10/6/17)
SSHSP Medicaid 101 Training Available via WebEx

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 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 5, 2018