Welcome to the Preschool Provider Resource Center
PRESCHOOL-RELATED SERVICES AND EVALUATIONS PROVIDER RESOURCE CENTER
Here you will find the essential resources, tools and information to effectively deliver Preschool services with New York Therapy. Whether you need guidance on procedures, access to important documents, or connections to key NYT contacts, everything is readily available to help you navigate your role with confidence and efficiency.
Meet the Support Team
Long Island Team
Meaghan Fidacaro, MS. Ed
Director of Preschool Evaluations
(Brooklyn & Queens Referrals)
Lisa Schlossberg, MS. Ed
CPSE Eval
Supervisor
Kristen Savino, LMSW
Preschool Evals
Clinical Coordinator
Michelle Bellafiore, MS
Preschool Evaluations
Assistant
Karla Hernandez
Preschool Evaluations
Assistant
George Lewis, MBA
Director of Preschool Services &
Integrated Systems Operations
Linda Muzik
CPSE & CSE Speech
Placement Coordinator
Andrea Levy
CPSE Services Specialist and
Recruiting Assistant
Alondra Portillo
Preschool Services
Coordinator
Brianna Connolly
CPSE OT/PT and CSE Special Ed
Placement Coordinator
Kim Vecchio
Preschool Billing
Supervisor
Colleen Lam
Preschool Billing
Coordinator
Hillary Teger
Senior Compliance Manager
Long Island & NYC
Jaclyn Dekhtyar
Compliance Coordinator
Long Island
NYC Team
Meaghan Fidacaro, MS. Ed
Director of Preschool Evaluations
(Brooklyn & Queens Referrals)
Melody Lohin, MA
Preschool Evaluations Manager
(Manhattan Referrals)
Rosa Chong
Preschool Evals Coordinator
(Bronx Referrals)
Melissa Benanti, MS. Ed
Preschool Evals
Clinical Coordinator
Samantha Weisfeld, MS. Ed
Preschool Evals
Clinical Coordinator
Cory Rossoff
Preschool Evals
Administrative Assistant
Rosella Abbate
Billing Manager
CPSE Evals
David Tellerman, MA CCC-SLP, TSHH, SDA
Chief Business Development &
Community Engagement Officer
Yanet Etienne
Related Services
Manager
Stephanie Ruggiero
Facilities Coordinator
Gina Torre
Assistant Billing Manager
Related Services
Arturo Montero
Billing Coordinator
Related Services
Hillary Teger
Senior Compliance Manager
Long Island & NYC
Val McIntyre
Compliance Coordinator
NYC
Key Resources
NYT Portal
Providers can view current caseload (treatment and evaluations) download pre-printed provider session notes, view prescriptions, view student records, and view compliance items.
NYT Portal Link
Compliance
All compliance, annual trainings, and requirements have been successfully completed as part of your onboarding packet. Please note that the following listed items are ongoing compliance requirements, mandated by New York State, the Department of Health (DOH), the Department of Education (DOE), and/or NYTPS, in accordance with district regulations and contracts with New York State. These requirements are due either annually, semi-annually, or every 2 to 3 years, as specified. Please note that you will receive regular email notifications regarding any upcoming or missing compliance requirements or documents. These “compliance issues” emails will provide ample notice prior to any items missing, coming due or expiring, helping you stay on track with all necessary documentation. Please contact the compliance department if you have any questions.
Annually Renewed Compliance Documents for All Providers
A6.0 Annual Physical Exam Form CPSE
An annual physical health exam is required of all providers. Have your physician fill out our 2- page "Annual Health Assessment" form, and submit to us.
C1.0 Child Abuse Recognition Training Certificate
All providers are required to have on file with NTYPS a certificate for training in Child Abuse Recognition and Reporting.
LI - Submit one time. (most recent update 11/01/2022)
NYC - Submit every two years.
C3.0 Corporate Compliance Plan Training Video
Annual training Video
C3.0 Corporate Compliance Training Acknowledgement
Annual Training, please watch the video, download, sign and date this acknowledgment form and upload to the NYTPS compliance folder.
CSP1.0 Cyber Security Practices Training Video
Annual Training, please watch the video, download, sign and date this acknowledgment form and upload to the NYTPS compliance folder.
CSP1.0 Cyber Security Practices Training Acknowledgement
Annual Training, please watch the video, download, sign and date this acknowledgment form and upload to the NYTPS compliance folder.
D5.0/D5.1 Data Privacy & Security Training Video
Annual Training, please watch the video, download, sign and date this acknowledgment form and upload to the NYTPS compliance folder.
D5.0/D5.1 Data Privacy & Security Training Info & Acknowledgement
Annual Training, please watch the video, download, sign and date this acknowledgment form and upload to the NYTPS compliance folder.
H13.0 Annual HIPPA Training Presentation
Annual Training, please read through presentation, download, sign and date this acknowledgment form and upload to the NYTPS compliance folder.
H13.0 Annual HIPPA Training Acknowledgement
Annual Training, please watch the video, download, sign and date this acknowledgment form and upload to the NYTPS compliance folder.
O1.0 Osha/HIV Manual
Annual Training, please read through presentation, download, sign and date this acknowledgment form and upload to the NYTPS compliance folder.
O1.0 OSHA Annual Acknowledgement
Annual Training, please read through presentation, download, sign and date this acknowledgment form and upload to the NYTPS compliance folder.
S4.0 State Child Abuse Registry Database Check
All providers are required to be screened in the State Central Register Database of persons who are the subject of indicated child abuse or maltreatment report. Fill out an LDSS-3370 form and upload it to the NYTPS compliance folder.
Your completed application will be submitted to NYS for processing and clearance. Please be sure to include BOTH THE MONTH AND YEARS for all addresses list. This must include ALL addresses for the past 28 years, or from birth if you are younger than 28. There can be NO gaps in dates.
LI provider submit every 3 years.
NYC providers submit every 2 years.
Additional Compliance - SLPs Only
Additional compliance needed if you are an SLP.
O3.0 OPRA Enrollment-Medicaid Number (OPRA - Ordering, Referring, Prescribing, Attending)
ALL SLP, Psychologists taking Preschool cases must obtain a Medicaid Number. Submit every 5 years.
Preschool Billing
Here you will find information on how to bill for provided Preschool Services.
Long Island Billing Documents & Guidelines
All billing is submitted through EnterCLAIMS. To submit an invoice, print the coversheet from the print bill screen and upload it. No Billing Barcode Sheet needed. Please scroll down to EnterCLAIMS section on this page for more information on the system.
Billing Coordinators:
Kim Vecchio – Preschool Billing Supervisor – 631-323-6543 – [email protected]
Colleen Lam – Preschool Billing Coordinator – 631-469-3250 – [email protected]
NYC/5 Boroughs Billing Documents & Guidelines
Gina Torre – Assistant Billing Manager – 516-342-7135 – [email protected]
Arturo Montero – Billing Coordinator – 516-454-1509 – [email protected]
NYC Evaluations Billing Coordinator:
Rosella Abbate – Billing Manager – 516-342-7846 – [email protected]
PS&SA Related Services - Confirmation of Monthly Consult log
After Monthly Consultations are entered into SESIS for all children on your caseload, please complete to advise NYTPS.
PS Related Services - Fillable Session Notes
Provider to complete and submit if child is not available on SESIS.
PS Related Services - Fillable Session Notes for CFY
Provider to complete and submit if child is not available on SESIS.
CPSE Tips & Resources
Technical Support
Written instructions and videos.
Useful Websites
County Manuals
Nassau County Preschool SEIS & Related Services Manual
Nassau County Manual for SEIS and Preschool Related Services.
Nassau County Preschool Manual Preschool Manual Appendices
Nassau County Department of Health - Early Intervention Website
Suffolk County Preschool Related Services Manual
Suffolk County Preschool Related Services Manual
Suffolk SEIS Manual
Suffolk County Preschool SEIS Service Manual
EnterCLAIMS
Instructions
Step by step instructions to EnterCLAIMS.
Videos
EnterCLAIMS FULL Training Video
EnterCLAIMS Training Video
How to Create a Digital Order
Please click the link and register ( just for tracking purposes) then the recording will start.
Resources
Find a Form
All the forms you will need while servicing your caseload.
Nassau Preschool Forms
Preschool Services can ONLY be provided Monday-Friday. Services follow the child’s home district school calendar unless a preschool/daycare calendar is specified in the IEP. Services CANNOT be provided on weekends, or during school breaks and holidays unless otherwise noted on the IEP. All services should be provided during the “typical school day” for that specific school district unless prior approval is obtained.
1. Nassau Preschool Evaluation Forms
Forms needed to complete a Preschool Evaluation.
Prescription for Psychological and Speech Evaluations
To be completed by the evaluator and uploaded in the Document Submission section at the bottom of this page.
Request for Translation and/or Bilingual Evaluation
To be completed by evaluator for all Bilingual Evaluations. Please be sure that it is dated prior to all evaluations taking place. Complete and upload with your evaluation in the Document Submission section at the bottom of this page.
2. Nassau Preschool Service Forms
All forms you may need during the duration of a preschool service case.
IEP Change Request Form
Provider to complete if amendment to IEP is needed. Complete and submit online.
Medicaid Consent - English
Provider to give parent to complete for permission to bill Medicaid Insurance Program.
Medicaid Consent - Spanish
Provider to give parent to complete for permission to bill Medicaid Insurance Program.
Nassau Parent/Guardian Consent for Alternate Verification Signature - English
Parent authorizes someone other than themself or guardian to sign session notes. Complete and upload.
Nassau Parent/Guardian Consent for Alternate Verification Signature - Spanish
Parent authorizes someone other than themself or guardian to sign session notes. Complete and upload.
Non-Delivery of Services Form
To be completed by the provider if the child has more than 5 or more consecutive absences. This form is completed and submitted online.
Prescription for OT/PT
To be completed by pediatrician before the services can start.
Prescription for all Other Disciplines
To be completed by pediatrician before the services can start.
3. Nassau Preschool Progress Report Forms and Templates
Progress marks and comments get updated on IEP Direct (Frontline) or ClearTrack for each goal and objective.
Written reports are only submitted for parent training or if requested by a district.
Progress Reports are due at NYTPS:
1st Quarter – November 1
2nd Quarter – January 1
3rd Quarter – April 1
4th Quarter – June 1
Instructions for Printing Quarterly Progress Marks
Provider to complete if amendment to IEP is needed. Complete and submit online.
4. Nassau Preschool Annual Review Forms and Templates
In accordance with NYS regulations, annual review reports must be completed for all students receiving services prior to the student’s scheduled annual review meeting.
All Preschool Annual Review reports are due to our office by March 1st.
CPSE Meeting Results Form
To be completed after the child's annual review meeting, complete and submit online.
Nassau County Regression Tool - Provider Training
Nassau County Regression Tool - Provider Training
Regression Tool Samples
Regression Tool Samples
Regression Tool Template
Complete to show regression of progress after school breaks and holidays to determine need for summer services. Upload once completed.
Suffolk Preschool Forms
Preschool Services can ONLY be provided Monday-Friday. Services follow the child’s home district school calendar unless a preschool/daycare calendar is specified in the IEP. Services CANNOT be provided on weekends, or during school breaks and holidays unless otherwise noted on the IEP. All services should be provided during the “typical school day” for that specific school district unless prior approval is obtained.
1. Suffolk Preschool Evaluation Forms
Forms needed to complete a Preschool Evaluation.
Home Language Survey
Please complete and upload in the Document Submission section at the bottom of this page.
Prescription for SP/PSYCH
Please be sure both pages are completed and upload in the Document Submission section at the bottom of this page.
2. Suffolk Preschool Service Forms
All forms you may need during the duration of a preschool service case.
Medicaid Consent English
Provider to give parent to complete for permission to bill Medicaid Insurance Program.
Suffolk Parent/Guardian Consent for Alternate Verification Signature Form - English
Parent authorizes someone other than themself or guardian to sign session notes. Complete and upload.
Suffolk Parent/Guardian Consent for Alternate Verification Signature Form - Spanish
Parent authorizes someone other than themself or guardian to sign session notes. Complete and upload.
Prescription for OT/PT
To be completed by pediatrician before the services can start.
Prescription for all Other Disciplines
To be completed by pediatrician before the services can start.
Provider and Family/Preschool/ Early Intervention Agreement for Services: English
Agreement advises parent of acceptable professional standards and boundaries. Provider and parent to sign and and send back to NYTPS.
Provider and Family/Preschool/Early Intervention Agreement for Services: Spanish
Agreement advises parent what is acceptable professional standards and boundaries. Provider and parent to sign and send back to NYTPS.
3. Suffolk Preschool Progress Report Forms and Templates
Progress marks and comments get updated on IEP Direct (Frontline) or ClearTrack for each goal and objective.
Written reports are only submitted for parent training or if requested by a district.
Progress Reports are due at NYTPS:
1st Quarter – November 1
2nd Quarter – January 1
3rd Quarter – April 1
4th Quarter – June 1
Instructions for Printing Quarterly Progress Marks
Provider to complete if amendment to IEP is needed. Complete and submit online.
4. Suffolk Preschool Annual Review Forms and Templates
In accordance with NYS regulations, annual review reports must be completed for all students receiving services prior to the student’s scheduled annual review meeting.
All Preschool Annual Review reports are due to our office by March 1st.
CPSE Meeting Results Form
To be completed after the child's annual review meeting, complete and submit online.
Regression Tool Guidance
Instructions for how to complete Regression Tool.
Regression Tool Template
Complete to show regression of progress after school breaks and holidays to determine need for summer services. Upload once completed.
NYC/5 Boroughs Preschool Forms
1. Preschool Evaluation Forms
2. Preschool Service Forms
Reminders
Your first session with each child should be within 5 school days of the authorization date or date you are assigned to the case (if it differs from the authorization date.)
First attend forms are to be submitted for each child on your caseload 24 hours after your first session.
Notify the Placement Coordinator if there will be a delay in providing the first attend.
Speech referrals should be completed prior to the start of service, and no later than 10 days following the start of service.
Encounter Attendance is to be entered into SESIS contemporaneously (within 24-48 hours) for all scheduled sessions, including absences and cancellations.
Contact the RS Coordinators for children not listed on your SESIS account.
Trouble signing in to SESIS?
All SESIS users are encouraged to use the self-service site to reset their own passwords via:
NYC DOE Password & Profile Management (nycenet.edu)
If you have further issues, please create a support ticket to obtain assistance.
NYC Rationale for Change In IEP
To be completed when IEP needs updating.
3. RS Report Templates and IEP Pages
Turning 5 template, Annual Review template, Quarterly Progress template and IEP pages.
Report Due Dates
Quarterly Progress Reports Due Dates:
November 15
February 15
May 15
August 15 (for 12 month IEP)
Turning 5 Reports:
December 15
Annual Review Report and IEP Pages
See your Student’s IEP. The First Page shows Date of IEP Meeting. Report is due to NYTPS 2 months prior.
Related Services Coordinator
Yanet Etienne – [email protected]
Preschool Turning 5, Quarterly and Annual Review Template
For Windows Users
4. Facilities Forms
Facilities Coordinator:
Stephanie Ruggiero – 516-342-7850 – [email protected]
Facility Timesheet Template
Please download, complete, and submit billing through the Document Submission section at the bottom of this page.
