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​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

  • School districts
  • Charter schools
  • Intermediate units
  • Vocational-technical schools
  • Preschool early intervention programs 

SBAP components

  • Direct services and special transportation claiming
  • Medicaid Administrative Claiming (MAC)
  • Random Moment Time Studies (RMTS)
  • Annual cost reconciliation and settlement 

Allowable health-related services

  • Assistive technology devices
  • Audiology services
  • Hearing-impaired services
  • Nursing services
  • Nurse practitioner services
  • Occupational therapy services
  • Orientation, mobility and vision services
  • Personal care services
  • Physical therapy services
  • Physician services
  • Psychiatric services
  • Psychological services
  • Social work services
  • Special transportation services
  • Speech and language services    


SBAP training

Additional FAQ Documents

FY 2023-2024 Fall Training Materials

​Training
Presentation
Materials
​SBAP General Session
View Video
​General Session Materials 
​SBAP Statewide Training: Compliance
View Video
​Compliance Materials
SSG: Direct Service
View Video
​• SBAP Overview
​• Direct Service Materials
​SSG: RMTS, MAC, Cost Settlement
View Video
 SBAP Overview
 RMTS Materials
 MAC Materials
 Cost Settlement 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