TEA and HHSC Update on the NPI Process

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SHARS Reimbursement Methodology HHSC plans to release a notice through Fairbanks on September 30, 2022 which will indicate the effective date of these changes will be October 1, 2022. Referrals and Prescriptions It is important to note that the requirements for Occupational and Physical Therapy are different than Speech and Audiology. … Read More

Annual SHARS Survey

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To conduct IDEA-B LEA maintenance of effort (MOE) compliance reviews, TEA must know how LEAs and fiscal agents expended any reimbursements they received under the School Health and Related Services (SHARS) program. All LEAs that received IDEA-B grant funding in the 2021–2022 school year must therefore submit the School Health … Read More

SHARS Benefits to Change for Texas Medicaid

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SHARS Benefits to Change for Texas Medicaid As we approach the beginning of the 2023 FFY (October 1, 2022) as well as the November 1, 2022 deadline for Speech Pathology policy changes, ONWARD wishes to remind you of these prior notifications.  Starting in August 13, 2021 ONWARD began releasing training … Read More

Medicaid Administrative Claiming (MAC) Financials

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This serves as official notification that HHSC has authorized Fairbanks, LLC, to open the MAC Financials for the 3rd quarter of federal fiscal year 2022; April-June 2022 (Q3 AJ22). The quarter opens on September 26, 2022 and will close on November 11, 2022 at 6:00 p.m. CST. The HHSC trained MAC Financial Contact … Read More

Fairbanks Announcements – SHARS: RMTS PL

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Fairbanks and HHSC released several notifications to Texas school districts and charter schools outlining updates and changes regarding the Random Moment Time Study process.  Below you will find three topics regarding the Participant List.  Please review the information below. Participant List Audits Earlier this year, Texas Education Agency (TEA) began … Read More

HHSC SHARS Q&A Document

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The Health and Human Services Commission (HHSC) released a SHARS Program Q&A on September 20, 2022 for all who registered and attended one of the recent HHSC SHARS webinars hosted from August 2 – Sept 1, 2022.  HHSC published the attached document to follow up with questions that were submitted, … Read More

TEA Certified Speech Therapists Not Approved for SHARS Reimbursement

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TEA Certified Speech Therapists Not Approved for SHARS Reimbursement TEA wants to remind school districts that as of October 1, 2022 TEA certified speech therapists will no longer be an approved speech therapy provider for SHARS reimbursements.  Originally this information was published in the Proposed Policies Changes document released in … Read More

School Health and Related Services (SHARS) Clarifications

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Documentation Requirements For reimbursement of SHARS benefits, SHARS providers should adhere to documentation requirements and privacy standards set forth by professional licensure requirements, medical practice standards, the Texas Medicaid Provider Procedures Manual (TMPPM), the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, and any applicable federal and state laws. … Read More

2023 Federal Fiscal Year – Random Moment Time Study Announcement

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Participant List Is Now Open The Random Moment Time Study (RMTS) Participant List (PL) for the first quarter of federal fiscal year 2023 (October 2022 – December 2023) is now open. To be eligible to obtain Medicaid reimbursements for SHARS and/or MAC, each provider entity must participate in the RMTS … Read More

MAC Deadline Reminders

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May 27, 2022 is the deadline for districts that participate in MAC for the October-December 2021. For questions regarding the completion and submission of the MAC Financials, contact the HHSC MAC Team at (512) 462-6200 or MedicaidAdministrativeClaiming@hhs.texas.gov. For questions regarding access to Fairbanks, please contact the Fairbanks Client Information Center at … Read More