TMPPM 2008 > Texas Medicaid Services > School Health and Related Services (SHARS) > Reimbursement and Certification of Funds

42.3.1.1 Certification of Funds

SHARS providers are required to certify on a quarterly basis the amount reimbursed during the previous federal fiscal quarter. TMHP Provider Enrollment mails the quarterly Certification of Funds letter to SHARS providers at the end of each quarter of the federal fiscal year (October 1 through September 30). The purpose of the letter is to verify that the school district incurred allowable costs/expenditures on the dates of service that were funded from state/local funds in an amount equal to or greater than the combined total of its interim rates times the paid units of service. While the payments were received the previous federal fiscal quarter, the actual dates of service could have been many months prior. Therefore, the certification of public expenditures is for the date of service and not the date of payment.

In order to balance amounts in the Certification of Funds, providers will receive or have access to the Certification of Funds Claims Information Report which shows that quarter's combined total payments for Medicaid fee-for-service claims and Medicaid PCCM claims. For help balancing the amounts in the letter, providers can contact their Provider Relations representative or the TMHP Contact Center at 1-800-925-9126.

Refer to: "TMHP Provider Relations" on page vii for more information about provider relations representatives.

The Certification of Funds letter must be:

•Signed by the business officer or other financial representative who is responsible for signing other documents that are subject to audit.

•Notarized.

•Returned to TMHP within 25 calendar days of the date printed on the letter.

Failure to do so may result in recoupment of funds or the placement of a vendor hold on the provider's payments until the signed Certification of Funds letter is received by TMHP. Providers must contact the TMHP Contact Center at 1-800-925-9126, if they do not receive their Certification of Funds letter.

On an annual basis, SHARS providers are required to certify through their cost reports their total, actual, incurred allowable costs/expenditures, including the federal share and the nonfederal share.