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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