School-Based ACCESS Program (SBAP)

SBAP Medicaid/Medical Assistance Enrollment

LEAs must enroll as an MA Provider and complete revalidation every 5 years.

Applying to Participate in SBAP

Provider Type (PT) 35 — Public School is the Medicaid enrollment provider type applicable for participating in the SBAP.

For additional information about the revalidation process, please see the Provider Type 35 Enrollment and Revalidation PowerPoint.

This sample application includes some of the information that you will need to correctly complete your application.

NOTE: Include contact information/links to Enrollment

​Session 4: MA Enrollment for LEAs

View Session 4