Medicaid Claiming

County-wide data collection for SSHSP claiming
medicaid
Leverage our Medicaid Service Bureau to save time and money on SSHSP reimbursement

An important facet of funding for preschool special education programs is the School Supportive Health Services Program (SSHSP) which allows for Medicaid reimbursement to Counties for certain services provided to Medicaid-eligible students with disabilities.

We offer three add-on service options to support SSHSP for your existing Preschool implementation:

  • Preschool-only
  • Preschool CPSE Portal
  • Preschool CPSE Portal Full-service Medicaid Service Bureau

Implementation includes onsite or webinar-based training and we offer both onsite and webinar-based supplemental training.

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Compliance Audits

Dozens of customizable audits to ensure full compliance with SSHSP requirements.

Transmission

Eliminate the complexity of submitting the claim in the correct format and processing the return file.

Voids and Adjustments

User-friendly process for submitting voids and adjustments.

Remittances

Decodes the denial reason and allows for easy resubmission when appropriate.

Reports

Suite of medicaid-specific reports to streamline your process.

Unparalleled Support

Work with an assigned Customer Relationship Manager to answer questions and resolve any issues.

Options

Preschool only Enhanced

Description: Utilize all the benefits of Preschool to improve your Medicaid Claiming process. Counties manage collection and entry of compliance documents, medicaid eligibility, visit entry, claim creation, and remittances.

Highlights:
  • Compliance Audits
  • Medicaid-specific Reporting
  • File Transmission
  • Returns processing
  • Voids and Adjustments

Preschool + CPSE Portal Streamlined

Description: Utilize Preschool and CPSE Portal to significantly reduce the time, effort, and paperwork required by county employees to manage collection and entry of compliance documents and visit entry. Free up employee time to concentrate efforts on maximizing reimbursements for the county.

Highlights:
  • Compliance Audits
  • Medicaid-specific Reporting
  • Providers enter visits
  • Digital Signatures
  • File Transmission
  • Returns processing
  • Voids and Adjustments

Full Service Medicaid made easy

Description: Mimimize the time and effort required by the county to manage the SSHSP Medicaid claiming process and maximize your Medicaid reimbursement. All parental consent and prescription documents are reviewed and approved by our expert staff. We manage medicaid eligibility, claim creation, and remittance processing. We provide periodic document compliance trainings for your providers to minimize errors and delays in reimbursement.

Highlights:
  • Compliance Audits
  • Medicaid-specific Reporting
  • Providers enter visits
  • Digital Signatures
  • Remittance
  • File Transmission
  • Return processing
  • Voids and Adjustments

CPSE Portal

CPSE Portal

With CPSEPortal, not only can providers track attendance and treatment information, but they are presented with the results of a suite of automatic warnings to catch issues before they are billed. This information is used to streamline the process of provider reimbursement, document that services were provided according to all rules and regulations, and simplify the process of managing all the necessary information required for these processes.

14200000

Attendances

78000

Children

3200000

Digital Signatures

7000

Active Users