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 #21-06

To: All SSHSP Medicaid Providers
From: NYS DOH OHIP SSHSP & NYSED Medicaid in Education Unit
Date: December 22, 2021
Subject: Desk Review Timeline and Training for 2019-2020 SSHSP Cost Reports

The purpose of this Alert is to remind SSHSP providers that all filed annual SSHSP Cost Reports are subject to desk review process. PCG will begin releasing these reviews of the SSHSP reported costs for the 2019-2020 school year the week of January 10, 2022. The desk review process closely examines each district and countys reporting information including:

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

Reported costs and ratios are compared against statewide thresholds, outlier costs are identified and reviewed to ensure compliance, and cost reports are checked against prior year cost reports to identify any major changes.

During the week of January 10th, Public Consulting Group (PCG) will be conducting two 2019-2020 desk review trainings. Both trainings will be the same, and there are no major changes to the desk review process from last year (the 2018-2019 report). Both trainings will demonstrate the desk review process, which includes information on PCGs role in the process, common errors, explains why edits are triggered, and what is expected from the counties and school districts in terms of responding to edits.

The desk review webinar trainings will be held at the below dates and times. Please register at any time prior to the start of a session by clicking on the applicable 'Register Here' link in the following NYSSHSP WebEx Training Schedule. You should receive an automatic email confirming the registration was successful.

2019-20 WebEx Desk Review Training Schedule
Date Time Registration Link
Tuesday, January 11, 2022 10AM – 11AM EST Register Here
Thursday, January 13, 2022 2PM – 3PM EST Register Here

Note: For providers who cannot make either of the desk review webinar trainings, there will be a recorded webinar posted to the PCG Claiming System Home page the following week. In addition, the desk review guide and other resources are located on the dashboard.

If you have any questions or need assistance registering for training, please contact PCG by email.

If you have any questions or comments regarding this Alert, please contact the NYS Department of Health at (518) 473-2160 or by email, the NYSED Medicaid Unit, or your local regional technical support and assistance contact.

Last Updated: December 23, 2021