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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Texas School-Based Services Eligibility 

SHARS reimbursement is provided for students who meet all of the following requirements:

    • Are 20 years of age and younger and eligible for Medicaid
    • Meet eligibility requirements for special education described in IDEA
    • Have IEPs that prescribe the needed services

The following are means to verify Medicaid eligibility of students:

    • Verify electronically through third party software or TexMedConnect.
    • School districts may inquire about the eligibility of a student by submitting the student’s Medicaid number or two of the following: name, date of birth, or Social Security number (SSN). A search can be narrowed further by entering the county code or sex of the student. Verifications may be submitted in batches without limitations on the number of students.
    • Contact AIS at 1-800-925-9126.
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