School Health and Related Services Reporting Requirement

This letter describes a reporting requirement applicable to all school systems and fiscal agents that received or administered funds awarded through the Individuals with Disabilities Education Act, Part B (IDEA-B) grant program for the 2024–2025 school year.

To conduct IDEA-B LEA maintenance of effort (MOE) compliance reviews, the Texas Education Agency (TEA) must know how school systems and fiscal agents expended any reimbursements they received under the School Health and Related Services (SHARS) program.

All school systems that received IDEA-B grant funding in the 2024–2025 school year must submit the SHARS Reimbursement Survey, regardless of whether they received SHARS reimbursements.

SHARS and IDEA-B LEA MOE

The SHARS program allows Texas school systems to request Medicaid reimbursement for certain health-related services provided to students with disabilities.

In accordance with Title 34 of the Code of Federal Regulations (34 CFR) §300.154(g)(2), if a school system spends SHARS reimbursements for state and local expenditures for special education services, those subsequent expenditures must be excluded for IDEA-B LEA MOE purposes from the final calculation of state and local expenditures.

Survey Access and Deadline

TEA has developed a SHARS Reimbursement Survey to collect this information. The survey is also available on the SHARS and IDEA-B MOE Guidance page of the TEA website. Refer to these SHARS Survey Instructions for information on how to access and submit the survey by the October 31, 2025, deadline.

For Further Information

The IDEA-B LEA Maintenance of Effort page of the TEA website provides links to the SHARS and IDEA-B MOE Guidance page, to SHARS guidance, and to the IDEA-B LEA MOE Guidance Handbook.

If you have further questions about the SHARS Reimbursement Survey reporting requirement, please contact the Federal Fiscal Compliance and Reporting (FFCR) Division at compliance@tea.texas.gov.