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.

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 Health
Services 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: July 6, 2018