Skip to agency navigation
Skip to main content

Official website

of the Commonwealth of Pennsylvania

    The .gov means it's official.

    Local, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or "pa.gov" at the end of the address. Before sharing sensitive or personal information, make sure you're on an official state website. 

    ​School-Based ACCESS Program (SBAP)

    Local Education Agencies (LEAs) enrolled in the Medicaid (Medical Assistance) Program can receive reimbursement for School-Based ACCESS Program (SBAP) services for the delivery of direct health-related services to students in the school setting and for Medicaid-allowable administrative services.   

     

    SBAP services can be reimbursed when provided to MA-eligible students aged 3 through 20 when documented in an Individualized Education Program (IEP) or an Individualized Family Service Plan (IFSP).

    Important Upcoming Dates

    October 27, 2026

    • RMTS Coordinator Monitoring Training; 10:00-10:30 a.m.

    Ocotober 30, 2026

    • MAC: July-September 2026 Financial Data Due

    November 16, 2026

    • July-September 2026 Desk Review Begins

    November 17, 2026

    November 18, 2026

    November 19, 2026

    Notice:

    SBAP Handbook

    The Department provides a wide range of resources and supports to LEA providers.  

    The most utilized resource is the SBAP Handbook - Previous versions of the SBAP Provider Handbook may be accessed on our DHS Bulletin Search page.

    General SBAP

    • Program Overview
    • Participation requirements
    • Reimbursement
    Additional General SBAP Information

    SBAP Forms and Documents

    • Medical Practitioner Authorization Form
    • Provider logs
    • Parental consent
    • LEA Agreement to Participate
    • Assistive device claiming packet
    • Self-Audit Record Review
    SBAP Forms and Documents

    LEA Participation

    • Enrolling in MA
    • LEA Agreement to Participate
    LEA Participation

    Random Moment Time Study (RMTS)

    • Participating in RMTS
    • Cost pool
    • Calendars
    • Schedule review
    RMTS Information

    Direct Services

    • Purpose of direct service
    • Reimbursement types
    • Reimbursement process
    • Claims submission process
    Direct Services

    MA Eligibility & Parental Consent

    • Requirements for eligibility
    • Parental consent documents
    MA Eligibility & Parental Consent

    Cost Settlement

    • What cost can be reported
    • Support for accurate reporting
    Cost Settlement

    Medicaid Administrative Claiming (MAC)

    • Medicaid administrative activities
    • Quarterly costs reporting
    • All other requirements for MAC
    MAC Information

    Compliance and Oversight

    • Quality assurance reviews
    • Oversight and monitoring reviews
    • BPI reviews
    Compliance and Oversight

    Contact

    Enrollment or Revalidation in the MA Program

    LEA’s FAI account

    Policy for SBAP

    RMTS, Direct Service Claiming, MAXCapture, or eSivicMACS