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School Health and Related Services (SHARS)

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, special transportation and personal care services.  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.

SHARS Compliance Review Guide

SHARS Self Monitoring Tool

SHARS Documentation Guidelines

SHARS Frequently Asked Questions (241KB)

Subscribe to the SHARS Listserv 

Federal Reimbursement Opportunity for the 2014-15 School Year (22KB)

Billing Guidelines

Non-Regulatory Guidance Regarding Parental Consent for the Use of Public Benefits or Insurance

Clarification for the Effective Date for Part B Insurance Regulations

 SHARS Rates information can be found on the Texas Health and Human Services (HHSC) SHARS web page.

Links to Related Information:

Texas Medicaid and Healthcare Partnership (TMHP)
At this location, links are available to banner messages, bulletins, and the Texas Medicaid Provider Procedures Manual.

Federal Health and Human Services (HHS) Office of the Inspector General (OIG)
From this location, you can access current and previous year's audit reports.

Answers to Frequently Asked Questions (FAQ) can be found on the Texas Health and Human Services Commission (HHSC) FAQ web page.


Division of Federal and State Education Policy

1701 N. Congress Avenue

Austin, Texas 78701

512.463.9414 Telephone  512.463.9560 Fax  

Page last modified on 7/14/2014 02:20:39 PM.