The  Texas Medicaid Provider Procedures Manual (TMPPM) may be accessed via the internet at https://www.tmhp.com/. Medicaid providers have a duty to become educated and knowledgeable with the contents and procedures contained in the TMPPM and agree to comply. Providers are responsible for ensuring that all employees and agents of the provider also comply.

HHSC Medicaid Provider Agreement 1/1/2019

Within 90 calendar days of occurrence, providers must report changes in address (physical location or accounting), telephone number, name, federal tax ID, and any other information that pertains to the structure of the provider’s organization addresses. Failure to provide this information may lead to administrative action by HHSC.

TMPPM 1.7.2, November, 2020

In accordance with Texas Administrative Code (TAC) 1 TAC §355.8443, Reimbursement Methodology for School Health and Related Services (SHARS), was amended to permit the HHSC to implement a one percent (1%) administrative fee for the SHARS program. 

Beginning November 16, 2020, the deduction for this fee is shown in a new section, MISCELLANEOUS LEVIES II, on the SHARS provider’s R & S report. 

SHARS expanded telehealth services are available until November 30, 2020.  

If this date changes, an updated bulletin will be sent.

When schools closed in Spring 2020, telehealth was extended for some SHARS services.  Currently, the extension expires on November 30, 2020 unless the U.S. Secretary of Health and Human Services ends the public health emergency earlier.

 At this time, services approved for SHARS telehealth billing are:

- Audiology services
- Counseling/ Psychological services *
- Occupational therapy*
- Physician services
- Physical therapy
- Speech therapy*

* services continue to be eligible for telehealth after the extension ends

Distant site telehealth providers must obtain informed consent for treatment from the patient, patient's parent, or the patient's legal guardian prior to rendering a telehealth service. Consent may be written or verbal and must be included in the student’s SHARS records. 

Participation in Random Moment Time Study (RMTS) and compliance with all RMTS requirements is mandatory for participation in SHARS. Attendance at RMTS training each federal fiscal year is mandatory. RMTS program contacts must attend annual training provided by HHSC. School staff  who are randomly selected to participate in the time study must receive annual training from a local RMTS program contact who has completed the HHSC mandatory training.

Participant List (PL)

Prior to each federal fiscal quarter, the RMTS contact for each participating provider will identify personnel who are eligible to participate in the RMTS. This information is entered into the State of Texas Automated Information Reporting System (STAIRS) and reviewed each quarter.