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 #23-09

To: All SSHSP Medicaid Providers
From: NYS DOH OHIP SSHSP &
NYSED Medicaid in Education Unit
Date: September 7, 2023 
Subject: Reminder Claiming Window for SSHSP Medicaid Claims

The purpose of this Alert is to remind SSHSP providers of timely filing guidelines for their Medicaid claims. In accordance with Medicaid Alert #19-02 the SSHSP claiming window is 15 months from the date of service.

SSHSP providers continue to be authorized to use delay reason code 3 for initial submission of claims that are submitted more than 90 days, but no more than 15 months after the date of service.

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 or the NYS Education Department, Medicaid Unit at medined@nysed.gov.

 

Last Updated: September 7, 2023