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Medicaid Data Collection Alerts

Medicaid Alerts are available back to 2010. The alerts begin with the adoption of the current State Plan Amendment, SPA-09-61, which was announced in Medicaid Alert 10-1. Prior alerts are available on the SED Medicaid-In-Education website.

2016 Medicaid Alerts

Click here to find 2016 Medicaid Alerts

2015 Medicaid Alerts

Click here to find 2015 Medicaid Alerts

2014 Medicaid Alerts

Medicaid Alert 14-04

Clarification of Medicaid Claim Form and Supporting Documentation Requirements: Billing PT and OT Services

Medicaid Alert 14-03

SSHSP Billing Codes for Speech Evaluations (Update to Medicaid Alert #13-16)

Medicaid Alert 14-02

International Classification of Diseases, 10th revision, Clinical Modification (ICD-10-CM)

Medicaid Alert 14-01

Resolving eMedNY Attending Provider National Provider Identifier (NPI) Affiliation Errors

2013 Medicaid Alerts

Medicaid Alert 13-01

Medicaid Administrative Claiming

Medicaid Alert 13-02

Psychological Evluation & Counseling CPT Code Changes - Interim Process

Medicaid Alert 13-03

SSHSP Cost Reporting Deadline Extended to March 15, 2013

Medicaid Alert 13-04

Requirement to Report Ordering/Referring Provider’s National Provider Identifier (NPI) on SSHSP Medicaid Claims

Medicaid Alert 13-05

Timely Submission of SSHSP Medicaid Claims-Guidelines effective December 1, 2013

Medicaid Alert 13-06

SSHSP and §4201 Schools

Medicaid Alert 13-07

NYS Medicaid provider enrollment requirement for providers who order/refer in the SSHS program

Medicaid Alert 13-08

Update on Physical Therapist Qualifications for the Preschool/School Supportive Health Services Program

Medicaid Alert 13-09

Effective for dates of service on or after 9/1/13: Update to SSHSP CPT Codes (Handout 5) includes crosswalk for psychotherapy codes, and new rate code for group occupational therapy

Medicaid Alert 13-10

Clarification of Federal Guidelines for Medicaid Reimbursement of Transportation for SSHSP

Medicaid Alert 13-11

SSHSP Cost Report - Establishment of the IEP Ratio

Medicaid Alert 13-11 (Attachment 1)

IEP Ratio Uploading Instructions

Medicaid Alert 13-12

SHSP Cost Report WebEx (online) required training dates for those involved in the completion of the cost report. The training will include an overview of several key updates to MCRCS and the SSHSP cost reporting methodology.

Medicaid Alert 13-13

Suspension of Medicaid Administrative Claiming (MAC) RMTS

Medicaid Alert 13-14

Timely Submission of SSHSP Medicaid Claims - Extension

Medicaid Alert 13-15

2012-13 SSHSP Medicaid Cost Report Update

Alert 13-15 Attachment

Supplemental Form for Alert 13-15

Medicaid Alert 13-16

SEE ALSO: Medicaid Alert 14-03. Speech Evaluation CPT Code Changes - Interim Process

2012 Medicaid Alerts

Medicaid Alert 12-01

2% Reduction in Medicaid Payments Not Applicable to SSHSP

Medicaid Alert 12-02

Additional Information on the National Provider Identifier (NPI) Requirements for SSHSP

Medicaid Alert 12-03

Federal Guidelines for Medicaid Coverage of Initial Evaluations - Effective April 1, 2012

Medicaid Alert 12-04

Requirement to Include Diagnosis Code on SSHSP Medicaid Claims

Medicaid Alert 12-05

SSHSP and Certified Public Expenditures

Medicaid Alert 12-06

New York State Medicaid to Require Electronic Funds Transfer (EFT) for Provider Payments and Electronic Remittance Advice (ERA) or PDF Version of Paper Remittances

Medicaid Alert 12-07

Update on Certified Public Expenditures

Medicaid Alert 12-08

Required Supplemental Form excel document (25.5 KB) (posted 8/27/12) RMTS and Cost Reporting Online Training Dates/Links

Medicaid Alert 12-09

NYS Medicaid Update Article "Written Orders Requirement for preschool/School Supportive Health Services Program (SSHSP)"

Medicaid Alert 12-10

Requirements for Medicaid Claims with Third Party Health Insurance (TPHI)

Medicaid Alert 12-11

Medicaid Policy Regarding Written Orders/Referrals Requirement for Preschool/School Supportive Health Services Program (SSHSP)

Medicaid Alert 12-12

SSHSP Cost Report Deadline Extended to February 15, 2013

2011 Medicaid Alerts

Medicaid Alert 11-01

Clarification of TCM Reimbursement

TCM Billing Guidance

TCM is a Medicaid service that is reimbursable through the School Supportive Health Services Program (SSHSP). Medicaid reimbursement is available for TCM services provided on or before June 30, 2010.

Medicaid Alert 11-02

Billing for SSHSP services provided on or after September 1, 2009

SSHSP Billing Memo

In accordance with Medicaid Alert #11-02, school districts, counties and §4201 schools may bill for school supportive health services with a date of service on or after September 1, 2009.

Medicaid Alert 11-03

Medicaid National Provider Identifier (NPI) Requirements