Upcoming Changes to SHARS Program: Key Updates, Implementation Support, and Advocacy Opportunities


HHSC announced yesterday that the proposed changes outlined on June 18, 2024, with a public comment period closing on July 8, 2024, will take effect on October 1, 2024. Key changes include:


  • A list of billable Personal Care ADLs/IADLs activities
  • Documentation of start and end times for each personal care activity
  • Updated billing and documentation procedures for group personal care services
  • Beginning October 2025: Verification of “competence” for Personal Care Providers to bill for services


We remain hopeful that the interim charges to the Appropriations Committee will provide clarity and potential relief from frequent changes with limited explanations and tight deadlines in the months to come. This funding is critical for school districts, so MSB is taking proactive steps to prepare districts for implementation.


Join our SHARS Interactive Tour as we unpack these changes, provide national Medicaid and Special Education expertise to support district implementation while collaborating with peers. For those ready to develop an implementation plan prior to our tour, please schedule a consultation with your Program Specialist. If you are not a client, but want to discuss how MSB can support your district, click here to schedule time with us.


We also encourage continued advocacy against these changes or for an extended implementation timeline. School districts should contact Appropriations Committee members and state leaders to express concerns.


Develop your letter and send:


Step 1: Download letter skeleton in word

Step 2: Copy and paste the sections that matter to you in your letter skeleton document or create your own

Step 3: Mail or Email


A) Appropriations Committee

Rep. Greg Bonnen

P.O. Box 2910

Austin, TX 78768


The greeting of the letter should be: "Dear Mr. Chairman," since he is Chair of the House Appropriations Committee.


The ISDs in his House District should write to his district office at:


Rep. Greg Bonnen

174 Calder Rd,, Suite 1000

League City, TX 77573


B)State Leader

Locate State leader and mail letter.


MSB will keep you informed, advocate for the SHARS program, and develop implementation tools to support you and your staff. We look forward to the anticipated Appropriations Committee Hearing and to seeing you on our SHARS Interactive Tour.

MSB Executive Leaders are preparing to hit the road and foster collaborative environments where SHARS-participating districts can unite to discuss the latest developments in SHARS, including how to implement the proposed changes. Engage with experts in Medicaid and Special Education, connect with your peers, and learn how to prepare for potential financial adjustments to the program.


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