Medicaid Data Collection Manuals
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Medicaid Data Collection Manuals
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SSHSP Billing and Claiming Handbook #7
The Preschool/School Supportive Health Services Program, Handbook #7 was developed by the NYS Department of Health in conjunction with the NYS Department of Education. This handbook should replace any guidebook you are currently using. Handbook #7 is effe
CPT Codes for SSHSP
As a result of Medicaid Alert 13-09, the Current Procedural Terminology (CPT) Codes on Handout 5 were revised. These will become effective for dates of service on or after 9/1/13. Please click this link view the updates.
ICD-9 web reference
The Web's Free 2014 Medical Coding Reference. This website takes the official 2006-2014 ICD-9-CM and HCPCS coding books and adds 5.3+ million links between codes.
ICD-10 web reference
On October 1, 2014 the United States will transition from ICD-9-CM to ICD-10-CM. We've got you covered with our new website called ICD10Data.com. If you want to learn about ICD-10-CM or convert ICD-9-CM codes, then this is the site you need to check out.
New York State Restricted and Excluded Providers Search
The Medicaid program wants to ensure that the best medical professionals participate in the Medicaid program. When the Program finds good reason that a provider should no longer be eligible to participate, they are placed on a list of excluded providers.
Medicaid Excluded Parties Searchable Database (Federal)
The Online Searchable Database enables users to enter the name of an individual or entity and determine whether they are currently excluded.
NYS Office of the Professions License Verification
Verify provider licenses and registrations are accurate and current.
NPI Number Lookup
Search and verify NPI numbers for providers and organizations
NYS Teacher Certification Search
Verify teaching credentials issued by NYSED, including TSHH, TSLD, and School Psychologist.
Medicaid Billing Guidance
Introduction to SSHSP
SSHSP training presentation for Medicaid 101. Training Modules - Discipline Specific are Currently under construction and will be coming soon.
Commitment to Compliance Policy
NYS Policy regarding its Commitment to Ensure Compliance
Confidential Disclosure Policy
Every district, at a minimum, must adopt a Confidential Dicslosure Policy. These are NYS Guidelines and requirements for the Confidential Disclosure Policy.
Amendment to Parental Consent Regulations (posted 07/17/13)
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) re
Sample Written Notification Form
a sample consent form (Attachment 3) that districts may use.
Sample Parental Consent Form (posted 10/28/13)
Sample Consent Form translations for accessing a parent's or student's Medicaid Insurance to pay for certain Special Education Services in a student's Individualized Education Program (IEP)
Provider Qualifications & Documentation Requirements ("Handout 1") updated 9/19/13
Referring requirements, Qualified Service Providers, and Documentation required for each Encounter
UDO/USO requirements ("Handout 2")
Requirements for providers working "Under the Direction Of" or "Under the Supervision Of" another licensed provider
Session Notes and Progress Notes ("Handout 3")
Service providers must maintain contemporaneous records. Session notes specifically document that the servicing provider delivered certain diagnostic and/or treatment services to a student on a particular date. Session notes must be completed by all quali
Current Procedure Terminology (CPT) Codes ("Handout 5")
Effective September 1, 2009, all SSHSP services will be reimbursed using an encounter - based claiming methodology, based on fees established by the Department of Health. SSHSP providers must use this select list of Current Procedural Terminology (CPT)
SSHSP Billing/Claiming Guidance ("Handout 7")
Required Documentation and information for Medicaid claiming. (This is not the same as "Handbook 7" in SED Manuals)
Medicaid Data Collection Support
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Medicaid Data Collection Support
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