Medicaid

Medicaid Operations at the New York City Department of Education (NYCDOE)

The Office of Medicaid Operations is responsible for the facilitation of efforts to claim Medicaid reimbursements of related services for applicable areas including:

  • Physical Therapy
  • Occupational Therapy
  • Speech/Language Therapy

The Office works to ensure that claims submitted by the NYCDOE meet state and federal requirements.

Resources

NYS Education Department

Please use the link below to access the web page for New York State's School/Preschool Supportive Health Services Program (SSHSP). Through this site you can find information regarding New York State's Medicaid in Education program, including rules, regulations, and program alerts.

Certified Monthly Roster User Guide

All center-based programs should certify their rosters in the Certified Monthly Roster (CMR). The CMR is a web-based electronic roster system that is a necessary system for processing payments to schools. For additional information regarding the annual and monthly procedures that must be followed in order to process payments, please visit the Vendor Portal CMR Application

Referral Portal for Contract Speech Providers 

Contracted Speech-Language Pathologists should complete an Electronic Speech Referral for each student on their caseload. If you do not have the SLP and serve under the supervision of a speech therapist with an SLP, your supervisor should complete an Electronic Speech Referral for each student on your caseload. For a comprehensive tutorial, please consult the eReferral Users’ Guide

ICD-10-CM Diagnosis Codes for SLPs 

As of October 1, 2015, all Speech-Language Pathologists (SLPs) should be using ICD-10-CM codes for all speech referrals. ICD-9 codes are no longer valid. The American Speech-Language-Hearing Association (ASHA) has made a multitude resources available to SLPs—as well as Audiologists—properly code diagnoses on referrals for service. Please refer to 2017 resources for new and revised codes.

NPI Registry Public Search

Centers for Medicare and Medicaid Services (CMS) and the U.S. Department of Health & Human Service (HHS) have jointly made available a free search tool for National Provider Identifier (NPI) records. The NPI Registry Public Search is a free directory of all active NPI records. Please utilize this directory to verify accuracy of clinician credentials. 

Medicaid IDs in EasyTrac for Orders

Providers can make use of eMedNY’s Enrolled Practitioner Search to verify Medicaid enrollment. While eMedNY does not include a lookup for Medicaid ID, it does allow a search by NPI, license number, or provider name. Use this website to search for NPI, license number, or provider name; if a match is returned, the user has effectively confirmed that the ordering provider is enrolled with Medicaid.

Contacts

Contact the Office of Medicaid Operations 
Email: medicaidops@schools.nyc.gov  
Phone: 855-740-5928 (toll free) 
Fax: 718-391-6183

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