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School Health and Related Services (SHARS)


Last Updated March 10, 2008

School Health and Related Services (SHARS) is a Medicaid financing program and is a joint program of the Texas Education Agency and the Texas Health and Human Services Commission (HHSC). SHARS allows local school districts / shared services arrangements (ssa’s) to obtain Medicaid reimbursement for certain health-related services provided to students in special education. Using existing state and local special education allocations as the state match, SHARS providers are reimbursed the federal share of the established reimbursement rate.

School districts/ssa’s receive federal Medicaid money for SHARS services provided to students who meet all three of the following requirements. These students must:

  • be Medicaid eligible,
  • meet eligibility requirements for Special Education described in the Individuals with Disabilities Education Act (IDEA), and
  • have Individual Educational Plans (IEPs) that prescribe the needed services.

Current SHARS services include: assessment, audiology, counseling, school health services, medical services, occupational therapy, physical therapy, psychological services, speech therapy, and special transportation. These services must be provided by qualified professionals under contract with or employed by the school district/ssa. Furthermore, the school district/ssa’s must be enrolled as Medicaid providers in order to bill Medicaid.

Legislative Report - Maximizing Federal Reimbursement

SHARS and MAC Funding Issues - June 17, 1998 Letter to Administrators

Use this page to sign up for the SHARS email list

Updated 12/5/07! Billing Guidelines (effective 9/1/06)

SHARS Rates

Links to Related Information

Updated 03/10/08! Frequently Asked Questions


Information Being Developed for the Interagency Coordination web site includes:

Noneducational Community-Based Support Services
The Texas Children's Mental Health Plan
Memoranda of Understanding

 

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