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 #19-06

To: All SSHSP Medicaid Providers
From: NYS DOH OHIP SSHSP & NYSED Medicaid in Education Unit
Date: December 16, 2019
Subject: Desk Reviews in process for 2017-2018 SSHSP Cost Report and Cost Reporting for 2018-2019

The purpose of this Alert is to remind SSHSP providers that all filed annual SSHSP Cost Reports are subject to desk review process. PCG is beginning these reviews of the SSHSP reported costs for the 2017-2018 school year. The desk review process closely examines each district and county’s reporting information including:

  • quarters reported for annual payroll information;
  • IEP ratio student counts;
  • transportation ratios; and
  • annual contract and tuition costs.

Districts and counties reported costs and ratios are compared against statewide thresholds. Outlier costs are identified and reviewed to ensure compliance. Additionally, cost reports are checked against prior year cost reports to identify any major changes.

PCG will send each district and county a desk review via email. Upon receipt, each district and county will need to respond and either confirm the information is accurate or request to make an adjustment to allow for corrections. Once the districts’ and counties’ desk review responses are received via email, PCG will respond and either:

  • request further explanation if there are still outstanding questions;
  • open the applicable report(s) if an adjustment has been requested; or,
  • close out the desk review if all items are resolved.

A district or county’s desk review must be completed in order for the fiscal year cost settlement result to be calculated. Please respond by the due date stated in the email. All follow-up emails must be responded to in a timely fashion. PCG Help Desk is available via phone and email for any questions or assistance regarding the desk review process.

Cost Reporting for 2018 – 2019
The NYS Department of Health is delaying collection of cost report data for the 2018-2019 school year. We anticipate collection to begin in early 2020. A separate Medicaid Alert will be issued in the near future announcing when cost reporting training will be available prior to collection of data.

If you have any questions or comments regarding this Alert, please contact the NYS Department of Health at (518) 473-2160 or email; Public Consulting Group (PCG) at 1-866-912-2974 or email; the NYS Education Department, Medicaid Unit via email; or your local Regional Technical Support and Assistance Contact.

Last Updated: December 17, 2019