New York State Office of the Medicaid Inspector General (NYS OMIG)
School/Preschool Supportive Health Services Program (SSHSP/PSHSP)
Medicaid in Education Unit
Issue #09-1
TO: All SSHSP/PSHSP Medicaid Providers
FROM: NYS OMIG SSHSP/PSHSP Medicaid in Education Unit
DATE: February 23, 2009
SUBJECT: Extending the Moratorium on TCM and Special Transportation Claiming
President Obama has signed the American Recovery and Reinvestment Act into law. The legislation extends the existing moratorium on regulations that have already been delayed by Congress: targeted case management (TCM) and transportation services. The ability to claim TCM and Special Transportation is extended from April 1, 2009 through June 30, 2009.
School districts may claim for Targeted Case Management Services and school districts and counties may claim for Special Transportation services through June 30, 2009.
The effected rate codes are 5491 (Initial Review), 5492 (Annual Review), 5493 (Triennial Review), 5494 (Amended/Requested Review), 5495 (Ongoing Service Coordination), 5496 (Special Transportation - School program) and 5327 (Transportation - Preschool program).
The restriction on TCM and Special Transportation claims will be re-instituted for claims with a Date of Service (DOS) of July 1, 2009 and later. The two-year window for claiming TCM and Special Transportation services will remain in effect.
If you are looking for more information about other Medicaid provisions
in the economic recovery package, here is a link to a recent
Center on Budget and Policy Priorities paper: http://www.cbpp.org/2-13-09sfp.pdf (120.43
KB) 
For any questions/comments regarding this alert, please contact your Regional Information Center representative, NYS Education Department Medicaid Coordinators, or NYS OMIG Medicaid in Education Unit staff.