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 #23-03

To: All SSHSP Medicaid Providers
From: NYS DOH OHIP SSHSP &
NYSED Medicaid in Education Unit
Date: April 4, 2023
Subject: Notification to Providers Regarding Certified Public Expenditure (CPE) Settlement Gainsharing Payments

Pursuant to New York State Social Services Law (SOS) §368-d (6) and §368-e (5) SSHSP providers will share 13.05% of the net CPE cost settlement. Gainsharing payments have recently been processed (by eMedNY during cycle 2377) for 2018-19 and 2019-20 school years. Those SSHSP providers eligible for gainsharing received their share of the 13.05% on, or about, March 29, 2023. The lump sum payments are identified by financial reason code GSH on Medicaid Remittance Advice reports.

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.

Last Updated: April 4, 2023