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SHARS 360: Navigating the SHARS Cost Report Settlement/Reconciliation Process

12.9.26 / 10:00am
1 hour

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By rule, the SHARS cost report settlement/reconciliation process must be completed within 24 months of the end of the reporting period covered by a cost report.

Understanding the policies that drive the cost report settlement process is critical to successfully navigating the reconciliation process. Failure to do so properly could result in your district leaving valuable Medicaid funding on the table.

This session will detail the audit review process, explain the purpose of cost report settlement, and discuss the intricacies surrounding the reconciliation process as well as the informal review process.

Featured Speakers

Dario Avila

Medicaid Strategist

Dario Avila is a Medicaid strategist and nationally recognized expert in school-based Medicaid programs, bringing nearly two decades of experience across Texas state government, private industry, and education technology. He began his career at the Texas Health and Human Services Commission (HHSC) in 2005, where he advanced into a program leadership role supporting Texas’s SHARS program, including cost reporting and rate setting. Dario also represented Texas through the National Alliance for Medicaid in Education (NAME), serving on its Board of Directors and as President. At Frontline Education, he partners with sales, product, implementation, and marketing teams to help districts strengthen compliance, improve documentation, and maximize Medicaid reimbursement.

Discover the Frontline Difference

Frontline Education is a leading provider of school administration software, supporting more than 10,000 K-12 organizations nationwide. Our solutions span four key areas — Human Capital Management, Student Solutions, Business Operations, and Data & Analytics — helping school systems operate efficiently and deliver better outcomes for students and staff.

Frontline Medicaid and Service Management

Frontline Medicaid and Service Management helps school districts simplify documentation, strengthen compliance, and maximize Medicaid reimbursement through a single, integrated platform. Built specifically for school-based services, Frontline streamlines service tracking, IEP-aligned documentation, transportation and PCS support, and Medicaid reporting—reducing administrative burden for providers and district staff.  

With built-in compliance safeguards and intelligent workflows, Frontline enables districts to improve audit readiness, increase accuracy, and gain greater visibility into their Medicaid programs—so staff can spend less time managing paperwork and more time supporting students.

Learn More

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