New York State Education Department (NYSED)
Preschool/School Supportive Health Services Program (SSHSP)
Medicaid in Education
Issue #23-02
| To: | All SSHSP Medicaid Providers |
| From: | NYS DOH OHIP SSHSP & NYSED Medicaid in Education Unit |
| Date: | March 27, 2023 |
| Subject: | Notification to Providers Regarding Changes to Compliance Certification Requirements |
Pursuant to New York State Social Services Law (SOS) §363-d, providers are required to certify to the Department upon enrollment in the Medicaid program that they are satisfactorily meeting the requirements of SOS §363-d. Furthermore, compliance with the requirements of SOS §363-d is a condition of payment from the Medicaid program.
Effective immediately, providers are no longer required to complete the annual December certification, commonly referred to as the "SSL Certification," using the form located on the Office of the Medicaid Inspector General's (OMIG) website. Instead, a provider adopting and maintaining an effective compliance program will now record (attest to) this as part of their annual "Certification Statement for Provider Billing Medicaid” (EMEDNY-490601 (revised 10/20)). This annual certification shall occur on the anniversary date of the provider's enrollment in Medicaid. Providers can find their anniversary dates on their initial Medicaid enrollment welcome letters and reminders are mailed to providers in advance of this annual date for compliance certification. The below link will take you to the form and instructions.
All providers who are subject to the mandatory compliance program requirements in SOS §363-d will be impacted by these changes.
Questions regarding this notice should be directed to OMIG's Bureau of Compliance at (518) 408 0401 or via email at compliance@omig.ny.gov.
If you have any questions or comments regarding this Alert, please contact the NYS Department of Health at (518) 473-2160 or at SSHSP@health.ny.gov, the NYS Education Department, Medicaid Unit at medined@nysed.gov.