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4.5.2.3 Cost Reporting
CMS requires annual cost reporting, cost reconciliation, and cost settlement processes for all such Medicaid SHARS services delivered by school districts. CMS requires that school districts, as public entities, not be paid in excess of their Medicaid-allowable costs and that any overpayments be recouped through the cost reconciliation and cost settlement processes. In an effort to minimize any potential recoupments, HHSC has assigned district-specific interim rates that are as close as possible to each district's estimated Medicaid-allowable costs for providing each SHARS service.
Each SHARS provider is required to complete an annual cost report for all SHARS that were delivered during the previous federal fiscal year (October 1 through September 30). The cost report is due on or before April 1 of the year following the reporting period.
The primary purpose of the cost report is to document the provider's costs for delivering SHARS, including direct costs and indirect costs, and to reconcile the provider's interim payments for SHARS with its actual total Medicaid-allowable costs. The annual SHARS cost report includes a certification of funds statement which must be completed to certify the provider's incurred actual costs. All annual SHARS cost reports that are filed are subject to desk review by HHSC or its designee.
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