Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter A - PURCHASED HEALTH SERVICES
Division 25 - SCHOOL HEALTH AND RELATED SERVICES
Section 354.1341 - Benefits and Limitations
Current through Reg. 49, No. 38; September 20, 2024
(a) Subject to the specifications, conditions, limitations, and requirements established by HHSC, school health and related services (SHARS) are those Medicaid services that are determined to be medically necessary and reasonable to ensure a Medicaid-enrolled student, 20 years of age or younger with a disability, receives the benefits accorded to the student by federal and state legislation guaranteeing a free and appropriate public education.
(b) SHARS must be prescribed in the student's approved individualized education program (IEP) as required by the Texas Education Code, § 29.001(7), and implemented through Commissioner of Education rule at 19 TAC § 89.1001(relating to the Scope and Availability).
(c) SHARS audiology services must be prescribed in an IEP as described in subsection (b) of this section or in a written Section 504 Plan as required by Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794).
(d) SHARS must be delivered in the least restrictive environment consistent with the nature of the specific service(s) and the physical and mental condition of the student.
(e) SHARS include:
