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Crosby ISD reports sharp declines in SHARS reimbursement estimates; district pursuing appeals and process changes
Summary
District staff reported large reductions in anticipated Medicaid (SHARS) reimbursements for school health-related services, including a revised 2022 payment cut from about $1.3 million to $578,000 and a 2023 revision from $826,000 to $147,000; the district is pursuing formal appeals and changing billing practices to maximize recoveries.
A district presenter summarized a year-long SHARS (School Health and Related Services) update and told trustees the district has seen significant downward revisions in anticipated Medicaid reimbursements tied to the program.
The presenter stated SHARS reimburses Medicaid-eligible students for a range of health-related services documented in individualized education programs (IEPs), including therapy, nursing and specialized transportation. She said participation requires quarterly random-moment time studies (RMTS), interim billing and an annual cost report, and that…
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