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.

Compliance Program Resources
The NYS Office of the Medicaid Inspector General (OMIG) has made available the following 2018 resources for Social Services Law Section 363-d and 18 NYCRR Part 521 compliance program certification:

If you have any questions, please contact OMIG’s Bureau of Compliance at (518) 408-0401 or

Medicaid Alert 18-10 (HTML) (12 KB) (posted 11/28/18)
2017-18 Certified Public Expenditure (CPE) Cost Report Training

Medicaid Alert 18-09 (HTML) (8 KB) (posted 11/13/18)
Required Submission of 2017-18 Staff Pool List

Medicaid Alert 18-08 (HTML) (28 KB) (posted 11/13/18)
Medicaid Client Identification Number (CIN) Matching - Interim Process

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

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

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

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: December 3, 2018