HHSC has proposed changes to the SHARS Handbook in the Texas Medicaid Provider Procedures Manual (TMPPM). Below are a couple of topics considered for changes: – expand audiology services to students eligible for 504 services, and – update allowable provider types for speech-language services. The complete document is available at … Read More
MAC Deadline Reminder
Health and Human Services Commission (HHSC) has authorized Fairbanks, LLC, to open the MAC Financials for the 2nd quarter of federal fiscal year 2022; January-March 2022 (Q2 JM22). The quarter will open on July 4, 2022 and will close on August 19, 2022 at 6:00 p.m. CST. The HHSC trained MAC Financial Contact … Read More
School Health and Related Services (SHARS) Clarifications
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
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
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
2021 Cost Report Correction Request Reminder
Districts wishing to correct information submitted in the 2021 SHARS Cost Report are allowed a correction period of 60 days from the close date (April 1, 2022). The correction period closes May 31, 2022. Any district that has not requested and completed corrections to their 2021 SHARS Cost Report by the deadline … Read More
SHARS Telehealth Extension
Texas Medicaid and Healthcare Partnership (TMHP) released a Provider Notification regarding SHARS Telehealth services. SHARS Telehealth flexibilities ended effective April 30, 2022 and have been replaced by related interim guidance. Please click the link to the view this important notification. If you have any additional questions, please contact the SHARS Analysts … Read More
SHARS Reimbursement Methodology – HHSC Accepting Comments
Public Hearing on Proposed Amendments to Rule — Reimbursement Methodology for School Health and Related Services (SHARS) The Health and Human Services Commission (HHSC) is accepting comments on the proposed new Title 1, Texas Administrative Code (TAC) §355.8443, concerning the Reimbursement Methodology for School Health and Related Services (SHARS). The … Read More
MAC Financial Training 2023 FFY
FFY 2023 MAC Financial Training MAC Financial Trainings are now scheduled and posted for Federal Fiscal Year 2023, which includes quarterly claim submission periods from October 1, 2022 – September 30, 2023. This training will grant access to submit MAC Financials via Fairbanks during the following quarterly submission periods: Q1-OD22: opens 3/13/2023, … Read More
MAC Financials
Medicaid Administrative Claiming (MAC) Financial Contact This serves as official notification that the Texas Health and Human Services Commission (HHSC) has authorized Fairbanks, LLC, to open the MAC Financials for the 1st quarter of federal fiscal year 2022; October-December 2021 (Q1 OD21). The quarter will open on April 11, 2022 and will close on … Read More