School-Based ACCESS Program (SBAP)
Local education agencies must first enroll as a provider in the Medical Assistance program through the Pennsylvania Department of Human Services (DHS) in order to participate in the School-Based ACCESS Program, also known as SBAP.
Provider Type (PT) 35 — Public School is the Medical Assistance enrollment applicable for participating in the SBAP.
Local education agencies eligible to enroll
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School districts
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Charter schools
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Intermediate units
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Vocational-technical schools
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Preschool early intervention programs
SBAP components
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Direct services and special transportation claiming
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Medicaid Administrative Claiming (MAC)
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Random Moment Time Studies (RMTS)
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Annual cost reconciliation and settlement
Allowable health-related services
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Assistive technology devices
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Audiology services
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Hearing-impaired services
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Nursing services
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Nurse practitioner services
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Occupational therapy services
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Orientation, mobility and vision services
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Personal care services
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Physical therapy services
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Physician services
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Psychiatric services
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Psychological services
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Social work services
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Special transportation services
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Speech and language services
SBAP training
Additional FAQ Documents FY 2023-2024 Fall Training Materials
For questions about training session content, please contact DHS at
RA-PWSBAP@pa.gov or DHS' vendor at PAsupport@sivicsolutionsgroup.com.
SBAP Module Trainings
Commonwealth contractor
DHS utilizes a third-party contractor to help administer the SBAP statewide and assist participating education agencies.
Sivic Solutions Group (SSG) Call the help desk at 1-877-916-3222 or send an email. (Support for cost
settlement/cost reconciliation, interim rate adjustments, RMTS, MAC, and direct
services/special transportation claiming)
Supporting Documents
Prescribed vs. Documented Services
The units of service
billed must be equal to or less than the units of service authorized on the
Medical Practitioner Authorization Form (MPAF). The MAXCapture system does not
have an edit check to ensure the units of service do not exceed the units of service
authorized. Use the ”SBAP Self-Audit Record Review Document” below to ensure
your LEA is taking steps to be in compliance with the MA Program.
Forms
Provider Logs