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4.3 Services/Benefits, Limitations, and Prior Authorization
All of the SHARS procedures listed in the following sections require a valid International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis code. SHARS include audiology services, counseling, physician services, nursing services, OT, PT, psychological services, speech therapy services, personal care services, and transportation.
Reminder: SHARS are the services determined by the ARD committee to be medically necessary and reasonable to ensure that children with disabilities who are eligible for Medicaid and 20 years of age or younger receive the benefits accorded to them by federal and state law in order to participate in the educational program.
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