School Health and Related Services
Medicaid services provided by school districts in Texas to Medicaid-eligible students are known as School Health and Related Services (SHARS). The oversight of SHARS is a cooperative effort between the Texas Education Agency (TEA) and Health and Human Services Commission (HHSC). SHARS allow local school districts, including public charter schools, to obtain Medicaid reimbursement for certain health-related services documented in a student's Individualized Education Program (IEP).
- Department of State Health Services (DSHS) School Health Program
- HHSC Contractor for SHARS Financial reporting
- Medicaid Administrative Claiming (MAC) website
Medicaid Providers Procedure Manual
(Children's Services Handbook Section 3)
- Texas Education Agency (TEA) website
Note: Rate Analysis staff can assist you with questions concerning only payment rates for the specified services. They are not able to answer other types of questions, such as the status of payment for services rendered or questions involving eligibility for care services.
If you have questions regarding School Health and Related Services program/policy issues, please call the TMHP Contact Center at the number on the Contacts List.
Enrollment and Participation
As the result of a federal mandate, all Medicaid providers must periodically re-enroll in the Medicaid program. All SHARS providers enrolled prior to January 1, 2013 who have not yet re-enrolled in the Medicaid program must do so immediately. Failure to re-enroll may result in termination from the Medicaid program. Terminated providers will not be eligible to receive payment for services rendered.
- Call the TMHP Contact Center at (800) 925-9126, option 2 or the TMHP CSHCN Services Program Contact Center (800) 568-2413.
- Attend a workshop
MAC & SHARS Participation Report (.pdf) - (updated 11/14/16)
Frequently Asked Questions
SHARS FAQ's (.pdf) (updated 07/24/17)
Guides / Manuals
Methodology / Rules
The School Health and Related Services program rules are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 354, SubChapter A, Division 25, Rules 1341-1342.
Reimbursement rules applicable to School Health and Related Services are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter J, Division 23, Rule 8443.
The fee schedules and any periodic adjustment(s) to the fee schedules are published in banner messages contained in provider Remittance and Status (R&S) reports, Medicaid Bulletin articles, web postings, provider manual, fee schedules or other provider notification.
View a list of important notices regarding School Health and Related Services.
Payment Rate Information
2017 Payment Rate - effective October 1, 2016
2016 Payment Rate - effective October 1, 2015
2015 Payment Rate - effective October 1, 2014
2014 Payment Rate - effective October 1, 2013
2013 Payment Rate - effective October 1, 2012
2011 Payment Rate - effective October 1, 2010
2007 Payment Rate - effective September 1, 2006 thru September 30, 2010
Training Information for Cost Reporting