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    School-Based ACCESS Program (SBAP)

    SBAP is a fee-for-service Medical Assistance (MA) program that reimburses participating Local Education Agencies (LEA) for delivering direct health-related services to students in the school setting, and Medicaid-allowable administrative activities.    

     

    School-based services are provided to MA-eligible students aged 3 through 20 when documented in an Individualized Education Program (IEP) or an Individualized Family Service Plan (IFSP). 

    Policy & Procedures

    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.

    Contacts

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    Brief introduction to what the SBAP listserv is and why someone should sign up.

    Sign-up for the SBAP listserv

    Important Upcoming Dates

    Additional resources

    Additional General SBAP Information

    Explore how LEAs can participate in the SBAP.

    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

    Documentation & Compliance

    For information about required documentation.

    Documentation & Compliance

    Random Moment Time Study (RMTS)

    For additional information about cost pools and participation in the RMTS.

    Random Moment Time Study (RMTS)

    Health-Related Services

    For specific information about the covered services in the SBAP.

    Health-Related Services

    Cost Reporting & Cost Reconciliation

    Cost Reporting & Cost Reconciliation

    MAXCapture

    MAXCapture

    Specialized Transportation

    For specific information about qualifying specialized transportation claiming.

    Specialized Transportation