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Update to "SHARS - Updates to Interim Claiming and Cost Reporting Requirements for SHARS PT, OT, ST, and Audiology Services"

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This is an update to an article titled “SHARS - Updates to Interim Claiming and Cost Reporting Requirements for SHARS PT, OT, ST, and Audiology Services,” which was published August 13, 2021.

The updates for School Health and Related Services (SHARS) physical therapy (PT), occupational therapy (OT), speech therapy (ST), and audiology services will be effective November 1, 2021, instead of October 1, 2021. Additionally, TMHP will accept SHARS claims for PT, OT, ST or audiology services for processing without a referring or prescribing provider National Provider Identifier (NPI) on the claim during a year-long grace period, through October 31, 2022.

Beginning November 1, 2022, claims will be rejected if the referring or prescribing provider NPI is not on the claim.

For more information, call the TMHP Contact Center at 800-925-9126.