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of the Commonwealth of Pennsylvania

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    School-Based ACCESS Program (SBAP)

    SBAP Medicaid/Medical Assistance Provider Enrollment

    LEAs must enroll as an MA Provider and complete revalidation every five years.

    SBAP MA Provider Enrollment

    Enrolling as a Medical Assistance (MA) Provider in the MA Program is necessary to receive reimbursement for health-related services identified as SBAP services.

    Learn More About DHS Provider Enrollment
    • MA Enrollment applications are completed through the online Internet Portal.
    • This sample application includes some of the information needed to correctly complete the MA Enrollment application.
    • For any questions related to your enrollment or revalidation, contact the Office of Medical Assistance Programs’ Division of Provider Enrollment at 1-800-537-8862 or RA-PROVAPP@pa.gov