LEAs are required to comply with all state and federal laws regarding documentation and record retention. Refer to 55 Pa. Code § 1101.51, 45 CFR Parts 160, 162, and 164, and the Health Insurance Portability and Accountability Act of 1996.
Some documentation which must be maintained to support the reimbursement of SBAP services are educational in nature, such as the IEP or IFSP. For questions and guidance on those educational documents, please refer to the Pennsylvania Department of Education.
- Medical Practitioner Authorization Form (MPAF) with instructions — Effective Oct. 1, 2024
- Medical Practitioner Authorization Form (MPAF) (Form Only) — Effective Oct. 1, 2024
- Audiology Service Provider Log
- Hearing-Impaired Service Provider Log
- Nursing Service Provider Log
- Occupational Therapy Service Provider Log
- Orientation, Mobility & Vision Service Provider Log
- Personal Care Service Provider Log
- Physical Therapy Service Provider Log
- Physician Service Provider Log
- Psychiatric Service Provider Log
- Psychological Service Provider Log
- Service Provider Evaluation Log
- Social Work & Counseling Service Provider Log
- Special Transportation Services Provider Log
- Speech and Language Service Provider Log