Medicaid in Education Alert
New York State Department of Health (DOH), Office of Health Insurance Programs (OHIP)
New York State Education Department (NYSED)
Preschool/School Supportive Health Services Program (SSHSP)
Medicaid in Education

Issue #18-02

To: All SSHSP Medicaid Providers
NYSED Medicaid in Education Unit
Date: June 14, 2018
Subject: Claiming Window for SSHSP Medicaid Claims Extension

The purpose of this Alert is to inform SSHSP providers of a temporary extension of the SSHSP claiming window from 12 months to 18 months from the date of service, effective for services provided on and after July 1, 2017. SSHSP providers are authorized to use delay reason code 3 for initial submission of claims that are more than 90 days, but no more than 18 months, from the date of service beginning with July 1, 2017.

The billing window is being extended to accommodate providers as they are implementing other strategies for obtaining student CINs. DOH and SED continue work on a systematic approach for identifying student CINs for SSHSP billing purposes.

If you have any questions or comments regarding this Alert, please contact the NYS Department of Health at (518) 473-2160 or at, the NYS Education Department, Medicaid Unit at, or your local Regional Technical Support and Assistance Contact.

Last Updated: July 30, 2018