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Medicaid Services
 

The MORIC Medicaid Support Service works in conjunction with the New York State Education Department  to train school districts on the Preschool and School Supportive Health Services Programs (collectively “SSHSP”).  MORIC staff coordinate training given by NYSED and provide introductory and Medicaid software training, technical assistance and support to Providers in the region.  The service assists districts in obtaining federal Medicaid reimbursement under SSHSP.


Questions?
Medicaid Support
adeyle@moric.org

Reimbursable Services:
  • Physical therapy services
  • Occupational therapy services
  • Speech therapy services
  • Psychological evaluations
  • Psychological counseling
  • Skilled nursing services
  • Medical evaluations
  • Medical specialist evaluations
  • Audiological evaluations
  • Special transportation services

























Announcements
Medicaid Alert #15-02 - Clarification on Medicaid Reimbursement for Nursing Services
Medicaid Alert #15-02, Clarification on Medicaid Reimbursement for Nursing Services, has been issued and can be accessed via the below link:

http://www.oms.nysed.gov/medicaid/medicaid_alerts/alerts_2015/home.html
SSHSP Q&A Document - Revised 2/11/15
A new SSHSP Q&A #227 has been issued and can be accessed via the following link: http://www.oms.nysed.gov/medicaid/q_and_a/
Medicaid Alert #15-01 - Medicaid State Plan Amendments for Certified Public Expenditures Have Been Approved
Medicaid Alert #15-01 “Medicaid State Plan Amendments for Certified Public Expenditures Have Been Approved’ can be accessed via the following link:

http://www.oms.nysed.gov/medicaid/medicaid_alerts/alerts_2015/home.html
Medicaid Alert #14-09 regarding the Random Moment Time Study (RMTS) Moment Expiration Update
Medicaid Alert #14-09 regarding the Random Moment Time Study (RMTS) Moment Expiration Update can be found by accessing the following link:

http://www.oms.nysed.gov/medicaid/medicaid_alerts/alerts_2014/home.html
Medicaid Alert 14-07 - SSHSP Medicaid Cost Report Update - Deadline Extension Opportunity
Medicaid Alert 14-07 regarding the SSHSP Medicaid cost report update deadline extension opportunity can be found by accessing the following link:

http://www.oms.nysed.gov/medicaid/news_announcements/
2015 SSHSP-Medicaid in Education Monthly Claiming and Billing Calendar
Medicaid Alert 14-04 - Billing PT and OT Services
The following Medicaid Alert has been issued and posted to the Medicaid in Education website:
http://www.oms.nysed.gov/medicaid/medicaid_alerts/alerts_2014/home.html

Medicaid Alert 14-03 - SSHSP Billing Codes for Speech Evaluation
Medicaid Alert 14-03 - SSHSP Billing Codes for Speech Evaluation: http://www.oms.nysed.gov/medicaid/medicaid_alerts/alerts_2014/home.html and an updated Handout #5:
http://www.oms.nysed.gov/medicaid/training_materials/home.html with the new speech evaluation CPT/Rate Codes, has been posted to the Medicaid in Education website.

Medicaid Alert #14-02-International Classification of Diseases, 10th revision
Medicaid Alert #14-02-International Classification of Diseases, 10th revision, Clinical Modification (ICD-10-CM)  has been posted on the Med-in-Ed website at http://www.oms.nysed.gov/medicaid/medicaid_alerts/alerts_2014/
Medicaid Alert #14-01 - Resolving eMedNY Attending Provider NPI Affiliation Errors
 Medicaid Alert #14-01"Resolving eMedNY Attending Provider NPI Affiliation Errors" has been posted to the Med-in-Ed website and can be accessed via the below link:  http://www.oms.nysed.gov/medicaid/medicaid_alerts/alerts_2014/home.html
Medicaid Alert 13-16 - SSHSP Speech Evaluation CPT Code Changes
 Medicaid Alert #13-16 - SSHSP Speech Evaluation Current Procedural Terminology (CPT) Code Changes - Interim Process is attached and has been posted to the Med-in-Ed website.  

 

http://www.oms.nysed.gov/medicaid/news_announcements/home.html

Medicaid Alert #13-15 - SSHSP Cost Report Update and Supplement Forms
Alert #13-15 - 2013 SSHSP Cost Report Update and the Supplemental Form are attached and have been posted to the Med-in-Ed website. 
 
http://www.oms.nysed.gov/medicaid/news_announcements/

Medicaid Alert #13-14 - Timely Submission of Claims - Extension
REVISED Medicaid Alert 13-12 - SSHSP Cost Report Webex Training
 The revised Medicaid Alert 13-12 regarding SSHSP Cost Report WebEx Training, contains time changes for some of the WebEx training sessions. The Alert has been posted on the Medicaid-in-Education website at:

 

http://www.oms.nysed.gov/medicaid/news_announcements/home.html

Medicaid Alerts Posted on SSHSP Website
 The following three Medicaid Alerts were posted on the Medicaid-in-Education website and can be accessed by clicking on the link below:

 

Medicaid Alert 13-11 - SSHSP Cost Report - Establishment of the IEP Ratio (includes attachment)

 

Medicaid Alert 13-12 - SSHSP Cost Report WebEx Training

 

Medicaid Alert 13-13 - Suspension of Medicaid Administrative Claiming (MAC) RMTS

 

 

http://www.oms.nysed.gov/medicaid/news_announcements/home.html

Parental Consent Translations Available (10/29)
2014 Medicaid SSHSP Claiming Calendar
 The 2014 Medicaid SSHSP Claiming calendar can be found at:

http://www.oms.nysed.gov/medicaid/resources/2014_monthly_claiming_calendar.pdf

 

Extended Due Date for OPRA Enrollment (10/3)
Click here for nformation regarding the extended due date for OPRA enrollment.
Medicaid Alert #13-07 - Revised (9/5)
 Medicaid Alert #13-07 has been revised to include licensed psychologists who refer psychological counseling services/evaluations as practitioners who must be enrolled in the NYS Medicaid program.

 Also, there is a Q+A document that addresses some of the concerns/questions that resulted from the issuance of Medicaid Alert #13-07.

 These documents  have been posted on the Medicaid-in-Education website at:

 http://www.oms.nysed.gov/medicaid/medicaid_alerts/alerts_2013/home.html

 http://www.oms.nysed.gov/medicaid/q_and_a/

Medicaid Alert #13-10 - Clarification of Special Transportation Guidelines 8/28
 Medicaid Alert #13-10 regarding clarification of federal guidelines for Medicaid reimbursement of special transportation services for SSHSP has been posted on the Medicaid-in-Education website at:
http://www.oms.nysed.gov/medicaid/news_announcements/home.html
Medicaid Alert 13-09 - Update to Billing Codes
 Medicaid Alert #13-09 regarding update to billing codes, which includes the revised CPT Codes Handout #5 have been posted on the Medicaid-in-Education website at:

http://www.oms.nysed.gov/medicaid/news_announcements/home.html

Update on Physical Therapist Qualifications for the Preschool/School Supportive Health Services Program (SSHSP)
 Medicaid Alert 13-08, CAPTE update, may be accessed via the below link:

http://www.oms.nysed.gov/medicaid/medicaid_alerts/alerts_2013/home.html 

Parental Consent Update (7/17)
 A memorandum which includes further information and sample forms regarding the amendment to section 200.5(b) of the Regulations of the Commissioner of Education which aligns State regulations to 34 Code of Federal Regulations section 300.154(d) and (e) relating to students with disabilities who are covered by public benefits or insurance and students who are covered by private insurance is now available at  http://www.p12.nysed.gov/specialed/publications/parentalconsent-medicaid-July2013.htm

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