Certified Public Expenditures (CPEs)
School Supportive Health Services Program
Preschool Supportive Health Services Program
Certified Public Expenditures (CPEs)
Federal Medicaid law and regulation authorize the use of Certified Public Expenditures (CPEs), an annual cost reconciled and settled reimbursement methodology. The CPE methodology allows NYS to request additional federal funding for SSHSP costs that are not completely covered by current Medicaid reimbursement.
School districts and counties billing for Medicaid services under the SSHSP are required to participate in an annual cost reporting process. The components of CPEs include a Random Moment Time Study (RMTS) and a Cost Based Settlement Process.
Medicaid State Plan Amendments (SPAs) have been approved by the Centers for Medicare and Medicaid Services (CMS). These SPA's are located under Resources.
Random Moment Time Study (RMTS)
Manual
(1 MB)
The RMTS Guide details how to navigate the RMTS system and certify the district staff pool list, as well as updating and certifying the district calendar.
NY SSHSP Medicaid Cost Based Settlement Process
Manual
(960 KB)
The Cost Report Guide for the SSHSP leads you through the web-based software application that captures the school districts and counties cost of providing IEP services to Medicaid-eligible students. The school district and county business office is responsible for completing the annual cost report.
Additional Resources/Vendor Contact Information:
Public Consulting Group, Inc.
Hotline: 866-912-2974
Email: NYSSHSP@pcgus.com
Website: PCG Claiming System
PCG Claiming System for NYCDOE
Fairbanks LLC
Support Line: 877-219-1316
Email: info@fairbanksllc.com
Website: Fairbanks LLC MAC