May 1997 Memo Addendum

THE STATE EDUCATION DEPARTMENT / THE UNIVERSITY OF THE STATE OF NEW YORK / ALBANY, NY 12234

OFFICE OF VOCATIONAL AND EDUCATIONAL SERVICES FOR INDIVIDUALS WITH DISABILITIES

Medicaid 97-03

June 1997

 
To:
District Superintendents
Superintendents of Schools
Directors of Special Education
Chairpersons of Committees on Special Education
Chairpersons of Committees on Preschool Special Education
School District Business Officials
County Executives
County Medicaid Contacts
SETRC Project Directors and Training Specialists
ECDC Project Directors and Coordinators
Superintendents of State-Operated/State Supported Schools
Commissioner’s Advisory Panel for Special Education Services
Preschool Advisory Committees
From:
Robert J. Scalise, Coordinator, Finance Unit, New York State Education Department
Subject:
Addendum to the May 1997 Memorandum "Clarification of Medicaid Documentation Requirements for Speech Services and Other Health Related Support Services Indicated on a Student’s Individualized Education Program (IEP)"

The Code of Federal Regulations [42CFR 440.110(c) 440.130(d)] has further clarified the issue of who may provide a referral for a Speech Evaluation and a recommendation for Speech Services in order to claim Medicaid reimbursement through the School Supportive Health Services Program and the Preschool Supportive Health Services Program.

In addition to the three alternatives listed in the May 1997 memorandum, you now have the following fourth alternative:

Effective July 1, 1997

Fourth Alternative:

Speech therapy services may be recommended in writing by a New York State Licensed Speech Pathologist in accordance with the frequency and duration as indicated on the student’s IEP.

Effective July 1, 1998

 

In addition to one of the four alternatives required or the 1997-98 school year, the following will also be accepted:

Speech evaluation may be referred in writing by a New York State Licensed Speech Pathologist.

If there is any change in what will be required for a Speech Evaluation effective July 1, 1998, you will be informed by the New York State Education Department in sufficient time to prepare for the 1998-99 school year.

Other Medicaid documentation requirements particularly the documentation required for the delivery of services has not changed.

A separate letter concerning Medicaid documentation requirements for authorizing speech evaluations and services under the Early Intervention Program will be sent under separate cover.

I trust this memorandum further clarifies the speech documentation issue. If further clarification or information is needed, please contact one of the following individuals:

Robert J. Scalise, NYS Education Department (SED): (518) 473-6118
Michael Albino, NYS Department of  [Social Services (DSS)] Health (DOH): (518) 473-9059
Juli Elson, NYS Department of Health (DOH): (518) 474-2262.

Thank you for your cooperation and continued efforts to assure that all the appropriate documentation is maintained prior to claiming Medicaid reimbursement.

cc:    Ann Clemency Kohler, Director, Office of Medicaid Management, (DOH)
        Sarah VanLeer, Counsel, (DOH)
        Richard Trautwein, Counsel, (SED)
        Ronald Calhoun, VESID, (SED)
        Louis DeMeo, (DSS)
        Lawrence Waite, VESID (SED)
        Michael Albino
        Juli Elson
        RIC Contacts
Last Updated: April 10, 2009