MEDICAID FINANCE AND CONSULTING SERVICES
A Division of the Houston Independent School District
School Health And Related Services is a Medicaid Program that is designed to reimburse school districts for providing direct services to their Special Education students. These activities include Assessments (FIE’s), Speech Therapy, Occupational Therapy, Physical Therapy, Psychological Services, Audiology, Counseling, Medical, Nursing, Personal Care Services, and Special Transportation. The main objective of the SHARS program is to reduce the cost of delivering health-care services.
The SHARS program will reimburse school districts for claims submitted on services provided to Special Education students. Services are paid according to cost-based rates established by the Medicaid system. Our consulting division can assist your district to decide if this Medicaid reimbursement program is the right opportunity to pursue.
Should My School District Consider Enrolling in the SHARS Program?
School districts should consider the following "pre-qualifying" factors when determining whether program participation is in their best interest.
- District wide Medicaid Eligibility Rate for their Special Education student population
- District wide Free-Lunch Percentage Rate for their student population
- Allowable health and related activities/services being performed or delivered to Special Education students
- Number of skilled professional medical personnel and other health-related staff members delivering allowable services
All of this plus much more can be done ONLINE through our eSHARS system. This system includes many helpful tools and reports to make the tracking of this information simple and provide a wealth of information to Clinicians and Managers. read more...
Contact us at 713-556-9125 or 855-381-MFCS
False Claim Act:
Pursuant to Section 6032 of the Deficit Reduction Act of 2005, any Medicaid Provider that receives Medicaid revenue in excess of $5 million dollars, per FFY, must inform their service providers of the False Claim Act.
The False Claim Act states that it is against federal law to submit a claim for payment or federal award to the Federal Government if services have not been provided. Pursuant to the False Claim Act, you have the right to report fraud, waste or abuse and your full disclosure of fraudulent practices, waste or abuse is protected by the Whistleblower Protection Act, and you will be afforded protected under such federal laws.
Each clinician must also sign a “SHARS Signature Authorization Form”, each year that they are certifying that their claims and information provided are true, accurate, and that they actually delivered the services as a requirement for claiming Medicaid.
The main thing is that we must constantly let SHARS clinicians and other applicable personnel know that if is unlawful to submit a “false claim” to the Medicaid program.
To Report Medicaid Waste, Fraud, and Abuse:
Medicaid Program Waste, Fraud, or Abuse can be reported to the Texas Health and Human Services Commission by calling 800-436-6184 or you may also call the Texas State Auditor’s Office by calling 800-TX-AUDIT. Pursuant to the federal False Claim Act, your full disclosure of fraudulent practices, waste or abuse is protected by the Whistleblower Protection Act, and you will be afforded protected under such federal laws.