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    ​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 1, 2026

    • MAC: July-September 2026 Begin Entering Quarterly Costs
    • Cost Settlement: 2026-2027 Interim Rates Available
    • Direct Service New Coordinator Training; 1:00-3:00 p.m.

    October 7, 2026

    • MAC Coordinator Training; 9:30-11:00 a.m.

    October 13, 2026

    • Cost Settlement 101 Training; 9:00-11:00 a.m.

    October 14, 2026

    • Cost Settlement Documentation Training; 1:00-2:00 p.m. 

    October 15, 2026

    • Cost Settlement: 2025-2026 Cost Report Opens

    October 21, 2026

    • Coffee Hour Session; 1:00-2:30 p.m.

    October 22, 2026

    • Cost Settlement Training; 9:30-11:30 a.m.

    October 27, 2026

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

    Ocotober 30, 2026

    • MAC: July-September 2026 Financial Data Due

    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