4.5.2 ReimbursementSHARS providers are reimbursed in accordance with 1 TAC §355.8443. School districts can access their district-specific interim rates on the HHSC website at www.hhsc.state.tx.us/medicaid/programs/rad/AcuteCare/Shars/Shars.html and click on the link titled Click Here To Access The Interim Rates Table. SHARS providers must participate in and comply with all RMTS requirements to be eligible to bill and receive Medicaid reimbursement for delivering SHARS services. For each annual SHARS Cost Report period (October 1 through September 30), if a school district does not participate in one of the three required quarterly RMTS, that school district cannot be a SHARS provider for that annual cost report period and will be required to return any Medicaid payments received for SHARS delivered during that annual cost report period. The school district can return to the SHARS program the following annual cost report period. New SHARS providers can call the RMTS contracted vendor at 1-888-321-1225. Refer to: Subsection 2.2, "Reimbursement Methodology" in Section 2, Texas Medicaid Reimbursement (Vol. 1, General Information) for more information. Subsection 2.7, "Federal Medical Assistance Percentage (FMAP)" in Section 2, Texas Medicaid Reimbursement (Vol. 1, General Information). |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2009 American Medical Association. All rights reserved. |
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