Medicaid in Education
- SSHSP (Preschool/School Supportive Health Services Program)
- Quick Links and Documents
- Frequently Asked Questions
SSHSP (Preschool/School Supportive Health Services Program)
The Nassau BOCES Medicaid in Education Program, developed in collaboration with the State Education Department (SED) and the Department of Health (DOH), enables schools to receive additional revenue for students—ages 3-21—who belong to the Preschool Supportive Health Services Program (PSHSP) and/or School Supportive Health Services Program (SSHSP).
The mission of this program is to assist school districts and counties in obtaining Medicaid reimbursement for certain diagnostic and health-support services provided to students with disabilities. Telephone support, as it relates to the Medicaid process and Medicaid Compliance issues, is available to all districts in Nassau County and the schools within Nassau BOCES' jurisdiction.
Part of our duties as Medicaid Trusted Agents is to assist your school district/county in maintaining proper documentation. Each year, NYSED chooses districts for Documentation Training. When your district/county is chosen, we will notify you by phone or email. Previous Medicaid claims are selected and supporting documentation for these claims are sent by the district or county to the State through a secure site. We review the claims and ask for any clarification of the claims that might be needed. This is done to help to ensure your documentation is in compliance with the SSHSP program policies and procedures. Once we have reviewed all documentation, we provide feedback and offer resources and guidance to any questions your district/county may have.
Description
Frontline Medicaid Direct is an enhanced Medicaid processing software for districts who participate in the School Supportive Health Services Program (SSHSP). Additional purchase of the Medicaid toolkit will maximize the reimbursement opportunities. Nassau BOCES will support the software and the Medicaid billing process through workshops, user groups, onsite training and support, and email and phone support. This service is customized to the specific needs of the district. A district can also receive individualized staff training for office staff and related service providers. Frontline Medicaid Direct is the most efficient way to maximize the reimbursement with the new SSHSP billing process.
CoSer: 602.041
Contact
Contact: Barbara Sabia
Phone: 516-608-6682
Email: bsabia@nasboces.org
Quick Links and Documents
Quicklinks
Documents
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NPI Application Instructions
Instructions for Completing the National Provider Identification (NPI ) Application for Individual Provider -
Profession Codes for NPI Affiliation
Profession Codes which are needed to affiliate providers NPI number with your 4201 school or district. -
NPI Affiliation Instructions
Instructions for affiliating provider NPI numbers with your 4201 school or district. This information is from eMedNY Self Help section. Please make sure you put 8 digits in the license number (you may have to add zeroes before license number.
Frequently Asked Questions
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Please access the SSHSP Questions and Answers which are published by SED and DOH. They contain specific historical and current Medicaid policies and billing guidance related to the provision of, and available Medicaid reimbursement for, school supportive health services.
Throughout the Question and Answers, there is information about:
- Compliance Agreements
- General Requirements - IDEA and SSHSP
- Document Requirements, Service Delivery and Record Retention
- Training
- Provider Qualifications
- Billing and Claiming Guidance
- Services
- Under the Direction of (UDO) and Under the Supervision of (USO)
- Random Moment Time Study (RMTS) and Cost Report
- Medicaid Enrollment
- ETIN
- and More!
When you go to the Question and Answers, you may find it helpful to perform a "Find" - Ctrl f - for a specific word/topic you are looking for.