SHARS – 504 Audiology Services Update

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Texas Health and Human Services Commission (HHSC) provided Texas LEAs that participate in SHARS information regarding possible new SHARS services.  The implementation of Audiology services provided under Section 504 plans for SHARS is currently pending the Centers for Medicare & Medicaid Services (CMS) approval.  No official decision has been made.  HHSC will issue an updated notice to SHARS providers upon approval.

If approved, SHARS may include Audiology Evaluation and Management Services provided to eligible students under Section 504 of the Rehabilitation Act of 1973. Medicaid-enrolled students must meet all eligibility requirements listed in the current Texas Medicaid Provider Procedures Manual (TMPPM), School Health and Related Services (SHARS) Handbook, and have both of the following:

  • A written Section 504 plan, documenting disability and medical necessity.
  • A referral for audiology evaluation and management services.

If you have any questions about the guidance above, please contact the HHSC SHARS staff at