The School Health and Related Services (SHARS) program allows Texas school districts

(LEAs) and shared service arrangements (SSAs) to request Medicaid reimbursement for certain health-related services. The Admission, Review, and Dismissal (ARD) committee determines SHARS services. Services must be medically necessary and reasonable to ensure that children with disabilities are able to participate in the educational program.

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

Are 20 years of age and younger and eligible for Medicaid

Meet the eligibility requirements for special education described in the Individuals with Disabilities Education Act (IDEA)

Have Individualized Education Program (IEPs) that prescribe the needed services Services covered by SHARS include:

• Audiology services
• Counseling
• Nursing services
• Occupational therapy
• Personal care services
• Physical therapy
• Physician services
• Psychological services, including assessments
• Speech therapy
• Transportation in a school setting