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Master's Professional Reports Abstract

The Impact of Medicaid Managed Care on Texas' School Health and Related Services (SHARS) Programs: A Situation Analysis and Recommendations

This professional report examines the impact of recent movements towards managed care of the Medicaid program on Texas' School Health and Related Services (SHARS). SHARS is a non-traditional provider of health care that receives Medicaid reimbursement funds for special education services provided to the Medicaid eligible populations. Regardless of reimbursement funds schools must provide these services to all of its special education population as dictated by the Individuals with Disabilities Education Act (IDEA). This report provides a background of Medicaid and SHARS and then discusses the relatiohship between the two programs. Using research derived from other states, the report argues that there are three possible scenarios for SHARS as managed care of Medicaid increases its scope in Texas. It conludes that the best option is for SHARS services to remain separate from managed care of Medicaid.

-- Author's foreword.