With more than twenty-five years of experience in SHARS revenue and school-based Medicaid consulting services, our team of experts are the leaders in SHARS serving more than half of the Medicaid eligible Special Education population in Texas.
School Districts in Partnership to Achieve Excellence
False Claim Act (FCA):
Pursuant to Section 6032 of the Deficit Reduction Act of 2005, any Medicaid Provider that receives Medicaid revenue in excess of $5 million dollars, per Federal Fiscal Year (FFY), must inform their service providers of the False Claim Act. The False Claim Act states that it is against federal law to submit a claim for payment or federal award to the Federal Government if services have not been provided. Pursuant to the False Claim Act (FCA), you have the right to report fraud, waste or abuse and your full disclosure of fraudulent practices, waste or abuse is protected by the Whistleblower Protection Act, and you will be afforded protection under such federal laws. Each year clinicians must sign a “SHARS Signature Authorization Form”, certifying the Medicaid claims provided are true, accurate, and that services were rendered. Submitting false claims constitutes an FCA violation which can result in investigation and prosecution. It’s imperative that SHARS clinicians and other applicable personnel are properly trained, monitored and informed of all FCA rules and regulations.
To Report Medicaid Waste, Fraud, and Abuse:
Medicaid Program Waste, Fraud, or Abuse can be reported by contacting the Texas Health and Human Services Commission at 1-800-436-6184 or the Texas State Auditor’s Office at 1-800-TX-AUDIT. Pursuant to the federal False Claim Act, your full disclosure of fraudulent practices, waste or abuse is protected by the Whistleblower Protection Act, and you will be afforded protection under such federal laws.