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    School-Based ACCESS Program (SBAP) Services

    Local Education Agencies (LEAs) enrolled in the Medicaid (Medical Assistance) Program can receive reimbursement for School-Based ACCESS Program (SBAP) services on a fee-for-service basis 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

    • May 15, 2026

      "Local Education Agency (LEA) Agreement to Participate” is due for participation starting July 1, 2026.

    • May 27, 2026

      Certify calendars and work schedules for July-September 2026 quarter.

    • June 6, 2026

      Certify cost pool lists for July-September 2026 quarter.

    Notice:

    SBAP Handbook

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

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

    Learn more

    SBAP resources

    General SBAP Information

    Program basics including participation requirements and reimbursement opportunities.

    Additional General SBAP Information

    MA Provider Enrollment

    LEAs that choose to participate in the SBAP must enroll in the MA Program as Provider Type 35, Public School.

    MA Provider Enrollment

    MA Eligibility & Parental Consent

    For reimbursement for services, students must be MA-eligible and parents must provide consent to services.

    MA Eligibility & Parental Consent

    Required Documentation

    For information about required documentation and retention of records.

    Required Documentation

    Random Moment Time Study (RMTS)

    For additional information about cost pools, calendars, schedules, and the importance of participating in the RMTS.

    Random Moment Time Study (RMTS)

    Direct Services

    For specific information about the MA-covered health-related services that qualify as SBAP services and how to submit those services for MA reimbursement consideration.

    Direct Services

    Cost Settlement

    For additional information about what costs can be reported and to find support for accurately reporting costs.

    Cost Settlement

    Medicaid Administrative Claiming (MAC)

    For more information about Medicaid administrative activities, quarterly cost reporting, and other requirements for MAC.

    Medicaid Administrative Claiming (MAC)

    Compliance and Oversight

    Information about SBAP oversight activities including but not limited to BPI audits, Quality Assurance Reviews, and the Oversight & Monitoring process.

    Compliance and Oversight